KING CITY PHYSICIAN COMPANY, LLC
NPI 1134470859
Otolaryngology - Plastic Surgery within the Head & Neck in Mount Vernon, IL

Q: What is King City Physician Company, LLC's NPI number?

The NPI number for King City Physician Company, LLC is 1134470859. It was assigned to this organization in the NPPES registry on September 20, 2012.

Q: What is King City Physician Company, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Active since September 20, 2012

4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL 62864(618) 242-0672(618) 242-0862 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About King City Physician Company, Llc NPPES

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

KING CITY PHYSICIAN COMPANY, LLC (NPI 1134470859) is a healthcare organization registered as a plastic surgery within the head & neck in Mount Vernon, Illinois and active in the NPI registry since September 2012. The organization lists Laura J Fey, Sr. Director Physician Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1134470859

Entity TypeOrganization

Primary Taxonomy207YX0007X

Legal Business NameKING CITY PHYSICIAN COMPANY, LLC

Location Address4117 S WATER TOWER PL, SUITE CMount Vernon, IL 62864-6567

Mailing Address4117 S Water Tower Pl, Suite CMount Vernon, IL 62864-6567 · (618) 242-0672 · Fax (618) 242-0862

Phone(618) 242-0672

Fax(618) 242-0862

Organization SubpartNo

Authorized OfficialLaura J FeySr. Director Physician Rev Cycle · (615) 221-3641

Enumeration DateSeptember 20, 2012

Last NPPES UpdateJuly 7, 2023

NPPES CertifiedJuly 7, 2023

✔ NPI 1134470859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4117 S WATER TOWER PL, Mount Vernon, IL 62864

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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 9

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

DR. CHARLES W NEAL M.D.

Family Medicine

4117 S WATER TOWER PL, SUITE D
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4848

NANCY K KERTZ NP

Nurse Practitioner (Family)

4117 S WATER TOWER PL, SUITE D
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4848

DEACONESS ILLINOIS CLINIC, INC

Family Medicine

4117 S WATER TOWER PL
MOUNT VERNON, IL 62864

Jefferson County (618) 242-0672

DAVID J LANE AU.D., CCC-A

Audiologist

4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864

Jefferson County (618) 242-0672

JACQUES PAPAZIAN M.D,S.C.

Otolaryngology

4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864

Jefferson County (618) 242-0672

MRS. MICHAELA PARCHMAN FNP-C

Nurse Practitioner (Family)

4117 S WATER TOWER PL
MOUNT VERNON, IL 62864

Jefferson County (618) 242-0672

DR. JACQUES PAPAZIAN M.D.

Family Medicine

4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864

Jefferson County (618) 242-0672

HEARTLAND OCCUPATIONAL MEDICINE PHYSICIANS OF ILLINOIS S C

Family Medicine

4117 S WATER TOWER PL, SUITE D
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4848

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 Physician Company, LLC's NPI number?

The NPI number for King City Physician Company, LLC is 1134470859. It was assigned to this organization in the NPPES registry on September 20, 2012.

Where is King City Physician Company, LLC located?

King City Physician Company, LLC is located at 4117 S Water Tower Pl Suite C, Mount Vernon, IL 62864. The listed phone number is (618) 242-0672.

What is King City Physician Company, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

When was this NPI record last updated?

The NPPES record for King City Physician Company, LLC was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.