Advanced Surgical Technology, LLC
Advanced Surgical Technology, LLC is a healthcare organization registered as Rural Health Clinic/Center in Mount Vernon, IL, holding Type 2 (organization) NPI 1902583909 since 2023. The authorized official on file is Jennia Rensing, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902583909 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Surgical Technology, LLC |
| Practice address | 4200 WILLIAMSON PL STE 1A, Mount Vernon, IL, 62864 |
| Phone | 6188999195 |
| Fax | 6189187151 |
| Enumeration date | 2023-06-30 |
| Last updated in NPPES | 2023-06-30 |
Authorized official
| Name | Jennia Rensing |
|---|---|
| Title | Office Manager |
| Phone | 6188999200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Advanced Surgical Technology, LLC NPI: 1902583909 Taxonomy: 261QR1300X (Rural Health Clinic/Center) 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 |
| 1497159024 | Advanced Surgical Technology, LLC | Organization | Surgery Physician | Mount Vernon, IL |
| 1912528126 | Macey Gettinger | Individual | Nurse Practitioner | Mount Vernon, IL |
Verify this record
Cross-check NPI 1902583909 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
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-06-30.