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GENERAL AND VASCULAR SURGICAL ASSOC
NPI 1952478430
Specialist in Maryville, IL

Active since November 29, 2006
6810 STATE ROUTE 162, SUITE 105, MARYVILLE, IL 62062(618) 288-3616(618) 288-3647 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About General And Vascular Surgical Assoc NPPES

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

GENERAL AND VASCULAR SURGICAL ASSOC (NPI 1952478430) is a healthcare organization registered as a specialist in Maryville, Illinois and active in the NPI registry since November 2006. The organization lists Charles Allen Lane, President, as its authorized official.

NPPES Registry Identity

NPI1952478430
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGENERAL AND VASCULAR SURGICAL ASSOC
Location Address6810 STATE ROUTE 162, SUITE 105Maryville, IL 62062-8501
Mailing Address6810 State Route 162, Suite 105Maryville, IL 62062-8501 · (618) 288-3616 · Fax (618) 288-3647
Phone(618) 288-3616
Fax(618) 288-3647
Organization SubpartNo
Authorized OfficialCharles Allen LanePresident · (618) 288-3616
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952478430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6810 STATE ROUTE 162, Maryville, IL 62062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

MARK EDELSTEIN, MD, PC
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Madison County (618) 288-1744
MARYVILLE MEDICAL SERVICES, LLC
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. THOMAS MICHAEL HULSEN M.D.
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062
Madison County (618) 288-5699
SHERRI BLAHA CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
JOSEPH HINES CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
GREGORY COLLINS MD
Anesthesiology
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
JOHN GUTHRIE CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MICHAEL PETRU CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711

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 General And Vascular Surgical Assoc's NPI number?

The NPI number for General And Vascular Surgical Assoc is 1952478430. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is General And Vascular Surgical Assoc located?

General And Vascular Surgical Assoc is located at 6810 State Route 162 Suite 105, Maryville, IL 62062. The listed phone number is (618) 288-3616.

What is General And Vascular Surgical Assoc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for General And Vascular Surgical Assoc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.