MICAH LEE SERVIS SA-C
NPI 1467752220
Physician Assistant - Surgical in Springfield, IL

Active since October 27, 2010
747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 62702(217) 545-5878(217) 545-2586 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Micah Lee Servis Sa-c NPPES

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

MICAH LEE SERVIS SA-C (NPI 1467752220) is an individual surgical provider in Springfield, Illinois, licensed in Illinois (238-000264) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1467752220
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMICAH LEE SERVISCredential: SA-C
Location Address747 N RUTLEDGE ST, 5TH FLOORSpringfield, IL 62702-6700
Mailing AddressPo Box 19679Springfield, IL 62794-9679 · (217) 545-5878 · Fax (217) 545-2586
Fax(217) 545-2586
Sole ProprietorNo
Enumeration DateOctober 27, 2010
NPI 1467752220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 238-000264
747 N RUTLEDGE ST, Springfield, IL 62702

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.

Obstetrics & Gynecology
747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702
Pharmacist
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

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 Micah Servis's NPI number?

The NPI number for Micah Servis is 1467752220. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Micah Servis located?

Micah Servis practices at 747 N Rutledge St 5th Floor, Springfield, IL 62702. The listed phone number is (217) 545-5878.

What is Micah Servis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Micah Servis was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.