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Surgical Associates of Mt Vernon, Ltd

NPI 1790827491ActiveOrganization· Surgery· Mount Vernon, IL

Surgery in Mount Vernon, Illinois, registered in NPPES in February 2007. The authorized official on file is Annette Shores, M.D., Physician/Owner.

Overview

NPI1790827491
StatusActive
Entity typeOrganization
NPI issuedFeb 12, 2007
Last updated in NPPESJan 24, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X——
Specialist174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Surgery providers in Mount Vernon

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