SURGICAL ASSOCIATES OF MT VERNON, LTD
NPI 1790827491
Surgery in Mount Vernon, IL

Active since February 12, 2007
2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 62864(618) 899-3980(618) 899-4793 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Surgical Associates Of Mt Vernon, Ltd NPPES

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

SURGICAL ASSOCIATES OF MT VERNON, LTD (NPI 1790827491) is a healthcare organization registered as a surgery in Mount Vernon, Illinois and active in the NPI registry since February 2007. The organization lists Annette Shores, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1790827491
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL ASSOCIATES OF MT VERNON, LTD
Location Address2 GOOD SAMARITAN WAY, SUITE 235Mount Vernon, IL 62864
Mailing Address2 Good Samaritan Way, Suite 235Mount Vernon, IL 62864 · (618) 899-3980 · Fax (618) 899-4793
Fax(618) 899-4793
Organization SubpartNo
Authorized OfficialAnnette ShoresPhysician/owner · (618) 899-3980
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 24, 2014
NPI 1790827491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Other Identifiers 1

Medicare PIN629601IL

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.

Psychiatry & Neurology (Sleep Medicine)
2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864
Internal Medicine
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Otolaryngology
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Surgery (Plastic and Reconstructive Surgery)
2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864
Pharmacist
2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864
Internal Medicine
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Occupational Therapy Assistant
2 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 Surgical Associates Of Mt Vernon, Ltd's NPI number?

The NPI number for Surgical Associates Of Mt Vernon, Ltd is 1790827491. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Surgical Associates Of Mt Vernon, Ltd located?

Surgical Associates Of Mt Vernon, Ltd is located at 2 Good Samaritan Way Suite 235, Mount Vernon, IL 62864. The listed phone number is (618) 899-3980.

What is Surgical Associates Of Mt Vernon, Ltd's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Mt Vernon, Ltd was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.