MID AMERICA RADIOLOGY SC
NPI 1770538282
Radiology - Diagnostic Radiology in Mount Vernon, IL

Active since May 23, 2006
1 GOOD SAMARITAN WAY, RADIOLOGY DEPT, MOUNT VERNON, IL 62864(618) 242-4600 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid America Radiology Sc NPPES

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

MID AMERICA RADIOLOGY SC (NPI 1770538282) is a healthcare organization registered as a diagnostic radiology in Mount Vernon, Illinois and active in the NPI registry since May 2006. The organization lists Jerrold C Willis, President, as its authorized official.

NPPES Registry Identity

NPI1770538282
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMID AMERICA RADIOLOGY SC
Location Address1 GOOD SAMARITAN WAY, RADIOLOGY DEPTMount Vernon, IL 62864-2402
Mailing AddressPo Box 2153 Dept 20002Birmingham, AL 35287-0001 · (303) 465-0401 · Fax (303) 438-1351
Organization SubpartNo
Authorized OfficialJerrold C WillisPresident · (618) 242-4600
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
NPI 1770538282 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.
1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Other Identifiers 2

OtherCB6407IL · Rr/ Good Sam & St Mary's
OtherCB6408IL · Rr/ St Joe & Utlah

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Internal Medicine (Interventional Cardiology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Rehabilitation Unit
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

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 Mid America Radiology Sc's NPI number?

The NPI number for Mid America Radiology Sc is 1770538282. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Mid America Radiology Sc located?

Mid America Radiology Sc is located at 1 Good Samaritan Way Radiology Dept, Mount Vernon, IL 62864. The listed phone number is (618) 242-4600.

What is Mid America Radiology Sc'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 Mid America Radiology Sc was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.