Mid America Radiology SC
NPI 1770538282ActiveOrganization· Radiology, Diagnostic Radiology· Mount Vernon, IL
Radiology, Diagnostic Radiology in Mount Vernon, Illinois, registered in NPPES in May 2006. The authorized official on file is Jerrold C. Willis, MD, President.
Overview
| NPI | 1770538282 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Mar 15, 2021 |
| Certified by provider | Mar 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
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 |
|---|
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