Southern Illinois Anesthesiology LTD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

42617784 Issued in IL

Legal business name

SOUTHERN ILLINOIS ANESTHESIOLOGY LTD

Practice address

605 N 12TH Street
Mount Vernon, IL 62864-2857

Phone

(618) 241-1108

Fax

(618) 241-3805

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Frank M Eaton, MD

Title

President

Phone

(618) 241-1108

Specialties & licenses 3

Addresses

Practitioners 1

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

• David William Neidig, MD

  • Anesthesiology Physician
  • Warren, OH
  • NPI 1912018607

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346353661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 LINCOLNSHIRE DRIVE",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642157",
            "telephone_number": "618-242-2317",
            "fax_number": "618-242-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N 12TH STREET",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642857",
            "telephone_number": "618-241-1108",
            "fax_number": "618-241-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS ANESTHESIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-241-1108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "42617784",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "42617784",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "42617784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony N Sodd, MD
• Solutions Psychotherapy LLC
• Samantha Tianna Someske, LPN
• Jonathan L Sorenson, CRNA
• Southern Illinois Acute Care Consultants,LTD
• Southern Illinois Consultants for Kidney Disease, S.C.
• Southern Illinois Family Foot Care, LLC
• Southern Illinois Heart and Vascular Center, PC
• Southside Medical Clinic Inc
• Spero Family Services

• All providers in Mount Vernon, IL
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.