EDWARDSVILLE AMBULATORY SURGERY CENTER LLC
NPI 1952464844
Clinic/Center - Ambulatory Surgical in Glen Carbon, IL

Q: What is Edwardsville Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since December 19, 2006CLIA 14D0433480 · Waiver

12 GINGER CREEK PKWY, GLEN CARBON, IL 62034(618) 656-8200 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edwardsville Ambulatory Surgery Center Llc NPPES

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

EDWARDSVILLE AMBULATORY SURGERY CENTER LLC (NPI 1952464844) is a healthcare organization registered as an ambulatory surgical in Glen Carbon, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Laura J Fey, Sr. Director Physician Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1952464844

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameEDWARDSVILLE AMBULATORY SURGERY CENTER LLC

Location Address12 GINGER CREEK PKWYGlen Carbon, IL 62034-3502

Mailing Address1573 Mallory Ln Ste 100Brentwood, TN 37027-2895 · (152) 221-1400

Phone(618) 656-8200

Organization SubpartNo

Authorized OfficialLaura J FeySr. Director Physician Rev Cycle · (615) 221-3641

Enumeration DateDecember 19, 2006

Last NPPES UpdateJuly 7, 2023

NPPES CertifiedJuly 7, 2023

✔ NPI 1952464844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in IL · 7002504

12 GINGER CREEK PKWY, Glen Carbon, IL 62034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0433480

Edwardsville Ambulatory Surgery Center LLC · Glen Carbon, IL

Active · expires Aug 31, 2026

CLIA Number14D0433480

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorPeter J. Anderson M D

Laboratory Phone(618) 656-8200

Laboratory LocationEdwardsville Ambulatory Surgery Center LLC12 Ginger Creek Parkway, Glen Carbon, IL 62034

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

136 services90 patients

Other Providers at the Same Location NPPES

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

AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC

Clinic/Center (Ambulatory Surgical)

12 GINGER CREEK PKWY
GLEN CARBON, IL 62034

Madison County (818) 666-0602

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 Edwardsville Ambulatory Surgery Center LLC's NPI number?

The NPI number for Edwardsville Ambulatory Surgery Center LLC is 1952464844. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Edwardsville Ambulatory Surgery Center LLC located?

Edwardsville Ambulatory Surgery Center LLC is located at 12 Ginger Creek Pkwy, Glen Carbon, IL 62034. The listed phone number is (618) 656-8200.

What is Edwardsville Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Edwardsville Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0433480) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Edwardsville Ambulatory Surgery Center LLC accept?

Health plans from UnitedHealthcare list Edwardsville Ambulatory Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwardsville Ambulatory Surgery Center LLC was last updated on July 7, 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.