Unknown Individual – Surgery Physician, NPI 1336122738
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Anderson Hospital, 6800, State Route 162, Maryville, Madison County, Illinois, 62062, United States
MARYVILLE, IL 620628500
Phone: (800) 968-6866
Type: Location
The Y Store, MN 1; MN 169, Tower, Saint Louis County, Minnesota, 55790, United States
SAINT LOUIS, MO 631666971
Phone: (800) 968-6866
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62062)
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