Maryville Physicians Services Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MARYVILLE PHYSICIANS SERVICES INC

Practice address

6812 State Route 162
Suite 123
Maryville, IL 62062-8553

Phone

(618) 288-9460

Fax

(618) 288-9461

NPI assigned

Apr 20, 2009

Organization subpart

Yes

Parent organization

MARYVILLE PHYSICIANS SERVICES INCAs reported in NPPES

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

Authorized official

Name

Keith Page

Title

President

Phone

(618) 288-5711

Specialties & licenses 1

Addresses

Part of

Maryville Physicians Services Inc

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1124261219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 STATE ROUTE 162",
            "address_2": "SUITE 123",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628553",
            "telephone_number": "618-288-9460",
            "fax_number": "618-288-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE PHYSICIANS SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVILLE PHYSICIANS SERVICES INC",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-5711"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kara L McGarrahan, OT
• Robert C. McKee, MD
• Laura E. McKinzie, NP

• Orthopaedic Surgery Physician in Maryville, IL
• Providers in Maryville, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.