1. Home
  2. Directory
  3. Illinois
  4. Belleville
  5. Surgery
  6. NPI Profile

SOUTHERN ILLINOIS VASCULAR SURGERY, PC
NPI 1407944192
Surgery - Vascular Surgery in Belleville, IL

Active since October 10, 2006
311 W LINCOLN ST, SUITE 200, BELLEVILLE, IL 62220(618) 233-2500(618) 233-2520 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Illinois Vascular Surgery, Pc NPPES

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

SOUTHERN ILLINOIS VASCULAR SURGERY, PC (NPI 1407944192) is a healthcare organization registered as a vascular surgery in Belleville, Illinois and active in the NPI registry since October 2006. The organization lists Hans Hassan Moosa, President, as its authorized official.

NPPES Registry Identity

NPI1407944192
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTHERN ILLINOIS VASCULAR SURGERY, PC
Location Address311 W LINCOLN ST, SUITE 200Belleville, IL 62220-1902
Mailing Address311 W Lincoln St, Suite 200Belleville, IL 62220-1902 · (618) 233-2500 · Fax (618) 233-2520
Phone(618) 233-2500
Fax(618) 233-2520
Organization SubpartNo
Authorized OfficialHans Hassan MoosaPresident · (618) 233-2500
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407944192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
311 W LINCOLN ST, Belleville, IL 62220
Open in Google Maps ↗

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 16

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

DR. KOSIT PRIEB M.D.
Surgery (Vascular Surgery)
311 W LINCOLN ST, SUITE 200
BELLEVILLE, IL 62220
St. Clair County (618) 233-2500
ROBERT HELLMAN M.D.
Anesthesiology
311 W LINCOLN ST, SUITE 101
BELLEVILLE, IL 62220
St. Clair County (618) 222-3200
VASCULAR & HAND SURGERY, LTD
Surgery (Vascular Surgery)
311 W LINCOLN ST, SUITE 200
BELLEVILLE, IL 62220
St. Clair County (618) 233-2500
SOUTH CENTRAL ANESTHESIA LTD
Nurse Anesthetist, Certified Registered
311 W LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (618) 654-8231
BELLEVILLE SURGICAL CENTER LTD
Clinic/Center (Ambulatory Surgical)
311 W LINCOLN ST, SUITE 300
BELLEVILLE, IL 62220
St. Clair County (618) 233-7077
METRO EAST ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
311 W LINCOLN ST, STE 101
BELLEVILLE, IL 62220
St. Clair County (618) 222-3200
DR. JOHN J BOEREN MD
General Practice
311 W LINCOLN ST, SUITE 300
BELLEVILLE, IL 62220
St. Clair County (618) 234-2566
MS. NANCY C BRADDOCK PA-C
Physician Assistant (Medical)
311 W LINCOLN ST, STE 201
BELLEVILLE, IL 62220
St. Clair County (618) 222-3200

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 Southern Illinois Vascular Surgery, PC's NPI number?

The NPI number for Southern Illinois Vascular Surgery, PC is 1407944192. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Southern Illinois Vascular Surgery, PC located?

Southern Illinois Vascular Surgery, PC is located at 311 W Lincoln St Suite 200, Belleville, IL 62220. The listed phone number is (618) 233-2500.

What is Southern Illinois Vascular Surgery, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Vascular Surgery, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.