MARYVILLE RADIOLOGY GROUP, LTD
NPI 1497773063
Radiology - Diagnostic Radiology in Maryville, IL

Active since July 18, 2006
ILLINOIS ROUTE 162, ANDERSON HOSPITAL DEPT OF RADIOLOGY, MARYVILLE, IL 62062(618) 288-5711 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2020, Mar 4, 2016 (2 updates tracked since 2016).

About Maryville Radiology Group, Ltd NPPES

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

MARYVILLE RADIOLOGY GROUP, LTD (NPI 1497773063) is a healthcare organization registered as a diagnostic radiology in Maryville, Illinois and active in the NPI registry since July 2006. The organization lists Terry Burk, President, as its authorized official.

NPPES Registry Identity

NPI1497773063
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMARYVILLE RADIOLOGY GROUP, LTD
Location AddressILLINOIS ROUTE 162, ANDERSON HOSPITAL DEPT OF RADIOLOGYMaryville, IL 62062
Mailing AddressPo Box 78130Saint Louis, MO 63178-8130 · (309) 363-4660
Organization SubpartNo
Authorized OfficialTerry BurkPresident · (618) 288-5711
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 12, 20202 updates tracked since enumeration
NPI 1497773063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
ILLINOIS ROUTE 162, Maryville, IL 62062

Other Identifiers 3

Other6010052IL · Bcbs
Other149856MO · Bcbs
Other99693Ghp

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

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 Maryville Radiology Group, Ltd's NPI number?

The NPI number for Maryville Radiology Group, Ltd is 1497773063. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Maryville Radiology Group, Ltd located?

Maryville Radiology Group, Ltd is located at Illinois Route 162 Anderson Hospital Dept Of Radiology, Maryville, IL 62062. The listed phone number is (618) 288-5711.

What is Maryville Radiology Group, Ltd's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Maryville Radiology Group, Ltd was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.