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

Q: 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.

Q: What is General And Vascular Surgical Assoc's specialty?

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

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: September 06, 2026.

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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.

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY

Surgery (Vascular Surgery)

6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062

Madison County (618) 334-2425

DR. GABRIEL CARDENAS JR. D.P.M.

Podiatrist (Foot & Ankle Surgery)

6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062

Madison County (618) 288-2835

MICHAEL PETRU CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

MICHAEL SOUTHWICK CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

MARK FEDDER, MD, PC

Internal Medicine (Gastroenterology)

6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062

Madison County (618) 288-0346

JOSEPH HINES CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

DR. JAMES JOSEPH DALLA RIVA M.D.

Obstetrics & Gynecology

6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062

Madison County (618) 288-5699

MARK SILVEY 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.