OrganizationActive
Roadside Medical, LLC
NPI 1457665382 · Clinic/Center · East Saint Louis, IL
Provider details
- NPI number
- 1457665382
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathon Witherspoon, Chief Executive Officer(941) 225-2520
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
699 State Route 203
Suite 1
East Saint Louis, IL 62201-1608
Phone: (941) 225-2520
Fax: (888) 860-8609
Street-level locationGet directions
Mailing address
8466 Lockwood Ridge Rd
Sarasota, FL 34243-2951
Other names (DBA / former)
- Doing business as
- Roadside Medical Clinic and Lab
Registry dates
- Enumerated
- 2010-08-03
- Last updated
- 2010-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.