Advanced Surgical Technology, LLC
Advanced Surgical Technology, LLC is a healthcare organization registered as Surgery Physician in Mount Vernon, IL, holding Type 2 (organization) NPI 1497159024 since 2014. The authorized official on file is Sandra Adams, Office Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497159024 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Surgical Technology, LLC |
| Practice address | 4200 WILLIAMSON PL STE 1A, Mount Vernon, IL, 62864 |
| Phone | 6188999200 |
| Fax | 6188999206 |
| Enumeration date | 2014-10-10 |
| Last updated in NPPES | 2019-07-17 |
Authorized official
| Name | Sandra Adams |
|---|---|
| Title | Office Administrator |
| Phone | 6189698317 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 036115674 | IL |
Copy-ready billing details
Provider: Advanced Surgical Technology, LLC NPI: 1497159024 Taxonomy: 208600000X (Surgery Physician) Address: 4200 WILLIAMSON PL STE 1A, Mount Vernon, IL, 62864
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972548287 | Udaya Liyanage | Individual | Surgery Physician | Mount Vernon, IL |
| 1912528126 | Macey Gettinger | Individual | Nurse Practitioner | Mount Vernon, IL |
| 1902583909 | Advanced Surgical Technology, LLC | Organization | Rural Health Clinic/Center | Mount Vernon, IL |
Verify this record
Cross-check NPI 1497159024 against the authoritative CMS record: view Advanced Surgical Technology, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Advanced Surgical Technology, LLC?
Who is the authorized official for Advanced Surgical Technology, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-07-17.