Organization Active NPI

Alton Surgical Facility, P.C.

  • Ambulatory Surgical Clinic/Center
  • Alton, IL
National Provider Identifier
1912033903
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ALTON SURGICAL FACILITY, P.C.
Practice address
3535 College Ave
Alton, IL 62002-5009
Phone
(618) 462-2316
Fax
(618) 462-0954
NPI assigned
Feb 26, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Lawrence Anthony Huels, D.P.M.NPI 1891978102
Title
President
Phone
(618) 462-2316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

3535 College Ave
Alton, IL 62002-5009

Mailing address

3535 College Ave
Alton, IL 62002-5009
Phone (618) 462-2316

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1912033903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025009",
            "telephone_number": "618-462-2316",
            "fax_number": "618-462-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025009",
            "telephone_number": "618-462-2316",
            "fax_number": "618-462-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON SURGICAL FACILITY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HUELS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-462-2316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.