King City Surgery Center, S.C.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

KING CITY SURGERY CENTER, S.C.

Practice address

2605 Main St
Mount Vernon, IL 62864-2372

Phone

(618) 244-0050

Fax

(618) 244-0061

NPI assigned

Oct 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anton Schittek, M.D.,F.A.C.S.NPI 1053418780

Title

Physician/President

Phone

(618) 244-0050

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anton Schittek, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mount Vernon, IL
  • NPI 1053418780
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1003005463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 MAIN ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642372",
            "telephone_number": "618-244-0050",
            "fax_number": "618-244-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 MAIN ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642372",
            "telephone_number": "618-244-0050",
            "fax_number": "618-244-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CITY SURGERY CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "SCHITTEK",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "618-244-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Danielle Kesel, MS, CCC-SLP
• Deborah M Kessler, OT
• Kirandeep Khangura, MBBS
• Justin Kim
• King City Physician Company, LLC
• Misty Dawn King, RN
• Janelle Renee Kirby, FNP-C
• Mallory Kirsch, DPT
• Melissa Klausman, CNM, WHNP-BC
• Klein & Cook Orthodontics LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.