Southern Illinois Surgical Consultants S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN ILLINOIS SURGICAL CONSULTANTS S.C.

Practice address

2227 Vadalabene Dr
Ste 300
Maryville, IL 62062-5823

Phone

(618) 288-7485

Fax

(618) 288-9086

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Morris A Kugler, M.D.

Title

President

Phone

(618) 288-7485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1366540593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 VADALABENE DR",
            "address_2": "STE 300",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625823",
            "telephone_number": "618-288-7485",
            "fax_number": "618-288-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 VADALABENE DR",
            "address_2": "STE 300",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625823",
            "telephone_number": "618-288-7485",
            "fax_number": "618-288-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS SURGICAL CONSULTANTS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "KUGLER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-7485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Slemer, M.S, CCC-SLP
• Kolin Smith, B.S. CADC
• Jessica Marie Soens, RN
• Southern Illinois Associates LLC
• Southern Illinois Chiropractic Center
• Michael Southwick, CRNA
• Spinally Better, LLC
• SPS Surgical Services, SC
• SSM Medical Group
• St. Louis Nephrology and Hypertension

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.