Montgomery County Surgical Associates, LLC
Organization Active NPI Health Service Clinic/Center · Litchfield, IL
NPI 1659535284 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1659535284
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 036121436 (IL)
- Legal business name
- MONTGOMERY COUNTY SURGICAL ASSOCIATES, LLC
- Practice address
- 725 Saint Francis Way
Litchfield, IL 62056-1780 - Phone
- (217) 324-8730
- NPI assigned
- Jul 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Blaser, D.O.
- Title
- Physician
- Phone
- (217) 324-8730
Practitioners 6
-
Tonya Darr, NP
-
Rajneesh Satish Jain, M.D.
-
Mara Knoche, NP
-
Manish Mathur, MD
-
Mia Lynn Rhodes, FNP
-
Bryan Siegfried, M.D.
National Provider Directory
Locations
1715 Medical Pkwy
Ste 200
Newton, KS 67114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 036121436 | IL | Yes |
Addresses
Primary practice location
725 Saint Francis Way
Litchfield, IL 62056-1780
Mailing address
725 Saint Francis Way
Litchfield, IL 62056-1780
Phone (217) 324-8730
Other providers in Litchfield, IL
- Midwest Centers for Family Medicine
- Midwest Eye Associates LLC
- Debra Miller
- Montgomery County Health Department
- Montgomery County Health Department
- Jessica Lynn Morris
- Motion 365 Medical Supply LLC
- Amy J Mullins
- Debbie Elizabeth Musgrave
- Nelson Audiology PLLC
All providers in Litchfield, IL · Health Service Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.