Anton Schittek, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Practice address

2605 Main St
Mount Vernon, IL 62864-2372

Phone

(618) 244-0050

Fax

(618) 244-0061

NPI assigned

Sep 17, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• King City Surgery Center, S.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mount Vernon, IL
  • NPI 1003005463
  NPD (past) Authorized official

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1053418780",
    "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": {
        "last_name": "SCHITTEK",
        "first_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04126219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "174748",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Ryan, MS, CCC-SLP
• S Thomas Sehy DPM LLC (Page Foot and Ankle)
• Courtney Sanders
• Jenna Michelle Santel
• Stephanie Schaubert, DPT
• Lorianne Catherine Schmider, PHD, LCPC, NCC
• Jaime Schneider, PHARMD
• Katie Marie Schrementi, M.S CCC-SLP
• Sally Joan Schroeter, PTA
• Stanton G Schultz, M.D.

• 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.