Southern Illinois Surgical Appliance Company

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SOUTHERN ILLINOIS SURGICAL APPLIANCE COMPANY

Practice address

8305 Express Dr. C
Marion, IL 62959-6359

Phone

(618) 969-8010

Fax

(618) 969-8014

NPI assigned

Jan 22, 2008

Organization subpart

Yes

Parent organization

SOUTHERN ILLINOIS APPLIANCE COMPANYAs reported in NPPES

Name

Mr. Ralph Randolph Lewis

Title

President/Owner

Phone

(800) 642-0501

Part of

Southern Ill Surg Appli

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2009.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1306022322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 EXPRESS DR. -C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596359",
            "telephone_number": "618-969-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 EXPRESS DR. C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596359",
            "telephone_number": "618-969-8010",
            "fax_number": "618-969-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS SURGICAL APPLIANCE COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN ILLINOIS APPLIANCE COMPANY",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "800-642-0501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois Medical Care Associates, LLC
• Southern Illinois Oncology & Hematology LTD
• Southern Illinois Pain Management
• Southern Illinois Psychiatry LLC
• Southern Illinois Sleep Institute
• Southern Illinois Surgical Associates, PC
• Southern Illinois Urology
• Southern Illinois Vein Center, LLC
• Southern Spine & Rehab, PLLC
• Amanda Sowers

• All providers in Marion, IL
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.