Mercy Clinic Surgical Specialists-Illinois LLC
NPI 1043713886ActiveOrganization· Surgery· Maryville, IL
Surgery in Maryville, Illinois, registered in NPPES in March 2018, part of Mercy Clinic East Communities. The authorized official on file is Kerry Dunger, Executive Director - Finance.
Overview
| NPI | 1043713886 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mercy Clinic East Communities |
| NPI issued | Mar 16, 2018 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general surgeons in Maryville
- 1093962896
- 1164581468
- 1275604498
- 1669609988
- 1790045417
- 1356762447
- 1366540593
- 1740364173
- 1790117596
- 1720055148
- 1255439436