OrganizationActive
Passavant Memorial Area Hospital
NPI 1366486771 · Surgery Physician · Jacksonville, IL
Provider details
- NPI number
- 1366486771
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Ragel, Cfo/Vice President of Finance(217) 479-5527
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 479-5821
Fax: (217) 243-7406
Street-level locationGet directions
Mailing address
Po Box 1977
Springfield, IL 62705-1977
Other names (DBA / former)
- Doing business as
- Passavant Surgical Associates
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.