PASSAVANT SURGICAL ASSOCIATES
NPI 1366486771
Surgery in Jacksonville, IL

Q: What is Passavant Memorial Area Hospital's NPI number?

The NPI number for Passavant Memorial Area Hospital is 1366486771. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Passavant Surgical Associates.

Q: What is Passavant Memorial Area Hospital's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 15, 2006

1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 479-5821(217) 243-7406 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About Passavant Surgical Associates NPPES

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

PASSAVANT SURGICAL ASSOCIATES (NPI 1366486771) is a healthcare organization registered as a surgery in Jacksonville, Illinois and active in the NPI registry since June 2006. The organization lists Larry Ragel, Cfo/vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1366486771

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePASSAVANT MEMORIAL AREA HOSPITAL

Location Address1600 W WALNUT STJacksonville, IL 62650-1136

Mailing AddressPo Box 1977Springfield, IL 62705-1977 · (217) 544-6464 · Fax (217) 757-6021

Phone(217) 479-5821

Fax(217) 243-7406

Organization SubpartNo

Authorized OfficialLarry RagelCfo/vice President Of Finance · (217) 479-5527

Enumeration DateJune 15, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1366486771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1600 W WALNUT ST, Jacksonville, IL 62650

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Other Names 1

Doing Business AsPassavant Surgical Associates

Other Identifiers 3

OtherCB3741IL · Rr Medicare Group#

Other752951IL · Healthlink

Other06932023IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

HEALTHCARE NETWORK ASSOCIATES

Clinic/Center (Multi-Specialty)