Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Novamed Eye Surgery Center of Maryville, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1023055696

Novamed Eye Surgery Center of Maryville, LLC provides Certified Registered Nurse Anesthetist services 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 Not confirmed with CMS for 18 years — call before visiting
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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