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Contact Information

SAINT ANTHONY'S PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL62002-4569
 Phone: 618-462-2222
 Fax: 618-463-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Medical

363AM0700X 97 Physician Assistant
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAINT ANTHONY'S PHYSICIAN GROUP

NPI # 1750497319
LBN Legal business name SAINT ANTHONY'S PHYSICIAN GROUP
Authorized official MICHAEL NELSON - (EXECUTIVE VICE-PRESIDENT/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 12/23/2014 - About 11 years ago
Identifiers
IL Other 0006021087 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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