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MARYVILLE INTERNAL MEDICINE, LTD
NPI 1730230848
Clinic/Center - Primary Care in Maryville, IL

Active since January 15, 2007
6810 STATE ROUTE 162, SUITE 205, MARYVILLE, IL 62062(618) 288-2120(618) 288-2123 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Maryville Internal Medicine, Ltd NPPES

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

MARYVILLE INTERNAL MEDICINE, LTD (NPI 1730230848) is a healthcare organization registered as a primary care in Maryville, Illinois and active in the NPI registry since January 2007. The organization lists Kevin B. Garner, President, as its authorized official.

NPPES Registry Identity

NPI1730230848
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARYVILLE INTERNAL MEDICINE, LTD
Location Address6810 STATE ROUTE 162, SUITE 205Maryville, IL 62062-8501
Mailing Address6810 State Route 162, Suite 205Maryville, IL 62062-8501 · (618) 288-2120 · Fax (618) 288-2123
Phone(618) 288-2120
Fax(618) 288-2123
Organization SubpartNo
Authorized OfficialKevin B. GarnerPresident · (618) 288-2120
Enumeration DateJanuary 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730230848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6810 STATE ROUTE 162, Maryville, IL 62062
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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.

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Surgery (Vascular Surgery)
6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062
Madison County (618) 334-2425
DR. GABRIEL CARDENAS JR. D.P.M.
Podiatrist (Foot & Ankle Surgery)
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Madison County (618) 288-2835
MICHAEL PETRU CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MICHAEL SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MARK FEDDER, MD, PC
Internal Medicine (Gastroenterology)
6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062
Madison County (618) 288-0346
JOSEPH HINES CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JAMES JOSEPH DALLA RIVA M.D.
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062
Madison County (618) 288-5699
MARK SILVEY CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711

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 Internal Medicine, Ltd's NPI number?

The NPI number for Maryville Internal Medicine, Ltd is 1730230848. It was assigned to this organization in the NPPES registry on January 15, 2007.

Where is Maryville Internal Medicine, Ltd located?

Maryville Internal Medicine, Ltd is located at 6810 State Route 162 Suite 205, Maryville, IL 62062. The listed phone number is (618) 288-2120.

What is Maryville Internal Medicine, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Maryville Internal Medicine, Ltd 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 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.