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

Micah Lee Servis, SA-C

Individual provider Surgical Physician Assistant · NPI 1467752220

Micah Lee Servis, SA-C is a Surgical Physician Assistant in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

747 N Rutledge St 5th Fl
Springfield, IL 62702-6700
Phone: (217) 545-5878
Fax: (217) 545-2586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 238-000264 (IL)

Record details

NPI number1467752220
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 27, 2010

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