OrganizationActive
Midwest Emergency Good Samaritan, Inc
NPI 1629367578 · Emergency Medicine Physician · Mount Vernon, IL
Provider details
- NPI number
- 1629367578
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Cruzen, President(817) 451-4208
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 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
605 N 12th St
Mount Vernon, IL 62864-2857
Phone: (817) 451-4208
Fax: (817) 563-3699
Street-level locationGet directions
Mailing address
6451 Brentwood Stair Road
Fort Worth, TX 76112-3200
Registry dates
- Enumerated
- 2011-03-31
- Last updated
- 2011-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.