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ANDERSON SURGERY CENTER LLC
NPI 1619519535
Clinic/Center - Ambulatory Surgical in Edwardsville, IL

Active since October 11, 2019CLIA 14D2181440 · Waiver
3403 ANDERSON HEALTHCARE DRIVE, EDWARDSVILLE, IL 62025(618) 288-5711(618) 288-4088 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anderson Surgery Center Llc NPPES

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

ANDERSON SURGERY CENTER LLC (NPI 1619519535) is a healthcare organization registered as an ambulatory surgical in Edwardsville, Illinois and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Keith A Page, President, as its authorized official.

NPPES Registry Identity

NPI1619519535
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameANDERSON SURGERY CENTER LLC
Location Address3403 ANDERSON HEALTHCARE DRIVEEdwardsville, IL 62025
Mailing Address6800 State Route 162Maryville, IL 62062-8500 · (618) 288-5711 · Fax (618) 288-4088
Phone(618) 288-5711
Fax(618) 288-4088
Organization SubpartNo
Authorized OfficialKeith A PagePresident · (618) 391-6406
Enumeration DateOctober 11, 2019
✔ NPI 1619519535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3403 ANDERSON HEALTHCARE DRIVE, Edwardsville, IL 62025
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2181440

Anderson Surgery Center, LLC · Edwardsville, IL
Active · expires Apr 2, 2028
CLIA Number14D2181440
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorThomas M. Hulsen M D
Laboratory Phone(618) 391-6751
Laboratory LocationAnderson Surgery Center, LLC3403 Anderson Healthcare Dr, Edwardsville, IL 62025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
48 services48 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
35 services35 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
34 services34 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
33 services13 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
26 services26 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services18 patients

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 Anderson Surgery Center LLC's NPI number?

The NPI number for Anderson Surgery Center LLC is 1619519535. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Anderson Surgery Center LLC located?

Anderson Surgery Center LLC is located at 3403 Anderson Healthcare Drive, Edwardsville, IL 62025. The listed phone number is (618) 288-5711.

What is Anderson Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Anderson Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2181440) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anderson Surgery Center LLC was last updated on October 11, 2019. 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.