KING CITY SURGERY CENTER, S.C.
NPI 1003005463
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mount Vernon, IL

Active since October 22, 2007
2605 MAIN ST, MOUNT VERNON, IL 62864(618) 244-0050(618) 244-0061 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About King City Surgery Center, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING CITY SURGERY CENTER, S.C. (NPI 1003005463) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Mount Vernon, Illinois and active in the NPI registry since October 2007. The organization lists Anton Schittek, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1003005463
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameKING CITY SURGERY CENTER, S.C.
Location Address2605 MAIN STMount Vernon, IL 62864-2372
Mailing Address2605 Main StMount Vernon, IL 62864-2372 · (618) 244-0050 · Fax (618) 244-0061
Fax(618) 244-0061
Organization SubpartNo
Authorized OfficialAnton SchittekPhysician/president · (618) 244-0050
Enumeration DateOctober 22, 2007
NPI 1003005463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X
2605 MAIN ST, Mount Vernon, IL 62864

Other Identifiers 2

Medicare UPINA88218IL
Medicare PIN207132IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2605 MAIN ST
MOUNT VERNON, IL 62864
Psychiatry & Neurology (Neurology)
2605 MAIN ST
MOUNT VERNON, IL 62864
Psychiatry & Neurology (Neurology)
2605 MAIN ST
MOUNT VERNON, IL 62864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is King City Surgery Center, S.C.'s NPI number?

The NPI number for King City Surgery Center, S.C. is 1003005463. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is King City Surgery Center, S.C. located?

King City Surgery Center, S.C. is located at 2605 Main St, Mount Vernon, IL 62864. The listed phone number is (618) 244-0050.

What is King City Surgery Center, S.C.'s specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for King City Surgery Center, S.C. was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.