Associated Physicians Group LTD

Physician Assistant · Waterloo, IL

Organization Active NPI

NPI number 1346784675

Practice location

509 Hamacher St
Suite 202
Waterloo, IL 62298-1592

Phone: (618) 939-5979
Fax: (618) 939-5984

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NPI record

NPI: 1346784675
Entity type: Organization (Type 2)
Enumeration date: December 6, 2016
Last updated: December 6, 2016
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Physician Assistant Primary	`363A00000X`	085.005551	IL

Mailing address

916 Talon Dr
Suite 102
O Fallon, IL 62269-1848

Phone: (618) 628-8211
Fax: (618) 628-0883

Authorized official

Name: Renee L Carson
Title: Credentialing Specialist
Phone: (618) 628-8211

About Associated Physicians Group LTD

Associated Physicians Group LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592. The NPI number 1346784675 was assigned on December 6, 2016 and the record was last updated on December 6, 2016.

Associated Physicians Group LTD lists a license in the registry: #085.005551 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Renee L Carson, Credentialing Specialist.

Frequently asked questions

What is the NPI number of Associated Physicians Group LTD?

The NPI number is 1346784675.

What is the phone number of Associated Physicians Group LTD?

The phone number listed for the practice location is (618) 939-5979.

Where is Associated Physicians Group LTD located?

509 Hamacher St, Suite 202, Waterloo, IL 62298-1592.

What is the taxonomy code for Associated Physicians Group LTD?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Waterloo

Alan Michael Meredith, PAC1551 N Il RT 3
Jessica M. Wachtel, PA509 Hamacher Street
Craig S. Stewart, PA509 Hamacher St

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