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MIDWEST PHYISICIAN ASSOCIATES LTD
NPI 1205291846
General Practice in Glen Carbon, IL

Active since December 28, 2015
8 GINGER CREEK PKWY, GLEN CARBON, IL 62034(618) 692-6700(618) 692-6711 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2016, Dec 28, 2015 (2 updates tracked since 2015).

About Midwest Phyisician Associates Ltd NPPES

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

MIDWEST PHYISICIAN ASSOCIATES LTD (NPI 1205291846) is a healthcare organization registered as a general practice in Glen Carbon, Illinois and active in the NPI registry since December 2015. The organization lists David Thayer, President, as its authorized official.

NPPES Registry Identity

NPI1205291846
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMIDWEST PHYISICIAN ASSOCIATES LTD
Location Address8 GINGER CREEK PKWYGlen Carbon, IL 62034-3502
Mailing AddressPo Box 997Edwardsville, IL 62025-0997 · (618) 692-6700 · Fax (618) 692-6711
Phone(618) 692-6700
Fax(618) 692-6711
Organization SubpartNo
Authorized OfficialDavid ThayerPresident · (618) 692-6700
Enumeration DateDecember 28, 2015
Last NPPES UpdateAugust 25, 20162 updates tracked since enumeration
✔ NPI 1205291846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036-072290
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8 GINGER CREEK PKWY, Glen Carbon, IL 62034
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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 2

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

DR. DUSTIN CLARK ROSENBURG D.C.
Chiropractor
8 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 979-3008
INTEGRATED MEDICAL GROUP LTD
Chiropractor
8 GINGER CREEK PKWY
GLEN CARBON, IL 62034
Madison County (618) 692-6700

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 Midwest Phyisician Associates Ltd's NPI number?

The NPI number for Midwest Phyisician Associates Ltd is 1205291846. It was assigned to this organization in the NPPES registry on December 28, 2015.

Where is Midwest Phyisician Associates Ltd located?

Midwest Phyisician Associates Ltd is located at 8 Ginger Creek Pkwy, Glen Carbon, IL 62034. The listed phone number is (618) 692-6700.

What is Midwest Phyisician Associates Ltd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Midwest Phyisician Associates Ltd was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.