ADVANCED SURGICAL TECHNOLOGY, LLC
NPI 1902583909
Clinic/Center - Rural Health in Mount Vernon, IL

Q: What is Advanced Surgical Technology, LLC's NPI number?

The NPI number for Advanced Surgical Technology, LLC is 1902583909. It was assigned to this organization in the NPPES registry on June 30, 2023. The provider is doing business as AST Primary Care MT Vernon.

Q: What is Advanced Surgical Technology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since June 30, 2023

4200 WILLIAMSON PL STE 1A, MOUNT VERNON, IL 62864(618) 899-9195(618) 918-7151 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Advanced Surgical Technology, Llc NPPES

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

ADVANCED SURGICAL TECHNOLOGY, LLC (NPI 1902583909), doing business as Ast Primary Care Mt Vernon, is a healthcare organization registered as a rural health in Mount Vernon, Illinois and active in the NPI registry since June 2023. The organization lists Jennia Rensing, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902583909

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameADVANCED SURGICAL TECHNOLOGY, LLC

Location Address4200 WILLIAMSON PL STE 1AMount Vernon, IL 62864-6705

Mailing Address4200 Williamson Pl Ste 1aMount Vernon, IL 62864-6705 · (618) 899-9195 · Fax (618) 918-7151

Phone(618) 899-9195

Fax(618) 918-7151

Organization SubpartNo

Authorized OfficialJennia RensingOffice Manager · (618) 899-9200

Enumeration DateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1902583909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

4200 WILLIAMSON PL STE 1A, Mount Vernon, IL 62864

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Other Names 1

Doing Business AsAst Primary Care Mt Vernon

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.

ADVANCED SURGICAL TECHNOLOGY, LLC

Surgery

4200 WILLIAMSON PL STE 1A
MOUNT VERNON, IL 62864

Jefferson County (618) 899-9200

MACEY GETTINGER

Nurse Practitioner

4200 WILLIAMSON PL STE 1A
MOUNT VERNON, IL 62864

Jefferson County (618) 899-9200

DR. UDAYA K LIYANAGE MD

Surgery

4200 WILLIAMSON PL STE 1A
MOUNT VERNON, IL 62864

Jefferson County (618) 899-9200

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 Advanced Surgical Technology, LLC's NPI number?

The NPI number for Advanced Surgical Technology, LLC is 1902583909. It was assigned to this organization in the NPPES registry on June 30, 2023. The provider is doing business as AST Primary Care MT Vernon.

Where is Advanced Surgical Technology, LLC located?

Advanced Surgical Technology, LLC is located at 4200 Williamson Pl Ste 1A, Mount Vernon, IL 62864. The listed phone number is (618) 899-9195.

What is Advanced Surgical Technology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Advanced Surgical Technology, LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.