SPS Surgical Services, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036080224 Issued in IL

Legal business name

SPS SURGICAL SERVICES, SC

Practice address

6810 State Route 162 Ste 10
Maryville, IL 62062-8501

Phone

(618) 288-6100

Fax

(618) 288-6162

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Stephen P Striegel, M.D.

Title

Surgeon/President

Phone

(618) 288-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1740364173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 STATE ROUTE 162 STE 10",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628501",
            "telephone_number": "618-288-6100",
            "fax_number": "618-288-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 STATE ROUTE 162 STE 10",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628501",
            "telephone_number": "618-288-6100",
            "fax_number": "618-288-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPS SURGICAL SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "STRIEGEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SURGEON/PRESIDENT",
        "authorized_official_telephone_number": "618-288-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036080224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080224",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois Associates LLC
• Southern Illinois Chiropractic Center
• Southern Illinois Surgical Consultants S.C.
• Michael Southwick, CRNA
• Spinally Better, LLC
• SSM Medical Group
• St. Louis Nephrology and Hypertension
• Patrice Staten, M.D.
• Amy L Stein, OTR/L
• Thomas Troy Stewart, N.P.

• 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 May 20, 2008; 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.