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ST MARYS GOOD SAMARITAN MEDICAL GROUP
NPI 1740421536
Obstetrics & Gynecology in Centralia, IL

Active since March 09, 2009
430 N PLEASANT AVE, CENTRALIA, IL 62801(618) 532-9350 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Marys Good Samaritan Medical Group NPPES

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

ST MARYS GOOD SAMARITAN MEDICAL GROUP (NPI 1740421536) is a healthcare organization registered as an obstetrics & gynecology in Centralia, Illinois and active in the NPI registry since March 2009. The organization lists Tammy Simonton, Mng, as its authorized official.

NPPES Registry Identity

NPI1740421536
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePHYSICIAN SERVICES CORP OF SOUTHERN ILLINOIS
Location Address430 N PLEASANT AVECentralia, IL 62801-3006
Mailing Address430 N Pleasant AveCentralia, IL 62801-3006 · (618) 532-9350
Phone(618) 532-9350
Organization SubpartYes
Authorized OfficialTammy SimontonMng · (618) 436-6267
Enumeration DateMarch 9, 2009
Last NPPES UpdateMarch 12, 2009
✔ NPI 1740421536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036116791
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 002642 (IL)
430 N PLEASANT AVE, Centralia, IL 62801
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Other Names 1

Doing Business AsSt Marys Good Samaritan Medical Group

Other Identifiers 2

Other1831101807IL · Cms Grp Npi
Medicare OSCAR/certification148999IL

Other Providers at the Same Location NPPES 3

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

GEORGE SUN MD
Obstetrics & Gynecology (Gynecology)
430 N PLEASANT AVE
CENTRALIA, IL 62801
Marion County (618) 436-8350
HEARTLAND WOMEN'S HEALTHCARE LTD
Clinic/Center (Rural Health)
430 N PLEASANT AVE
CENTRALIA, IL 62801
Marion County (618) 997-5266
SHALISA ANNE HENSON CNM
Advanced Practice Midwife
430 N PLEASANT AVE
CENTRALIA, IL 62801
Marion County (618) 436-8350

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 Physician Services Corp Of Southern Illinois's NPI number?

The NPI number for Physician Services Corp Of Southern Illinois is 1740421536. It was assigned to this organization in the NPPES registry on March 9, 2009. The provider is doing business as St Marys Good Samaritan Medical Group.

Where is Physician Services Corp Of Southern Illinois located?

Physician Services Corp Of Southern Illinois is located at 430 N Pleasant Ave, Centralia, IL 62801. The listed phone number is (618) 532-9350.

What is Physician Services Corp Of Southern Illinois's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Physician Services Corp Of Southern Illinois was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.