Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Novamed Eye Surgery Center of Maryville, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1023055696

Novamed Eye Surgery Center of Maryville, LLC is a Certified Registered Nurse Anesthetist in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 Maryville Professional Park
Maryville, IL 62062
Phone: (618) 288-7483
Fax: (618) 288-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 7002132 (IL)

Record details

NPI number1023055696
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNovamed, Inc
Authorized official Scott Macomber — Executive Vp And Cfo · (312) 780-3234
Other names Eyes Of Illinois Surgery Center Of Maryville
NPI enumeratedJune 1, 2006
Last updated in NPPESApril 20, 2008
Mailing address12 Professional Park Dr, Maryville, IL 62062-5672

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