LAKE SHORE UROLOGY AT ST. MARY'S
NPI 1043486731
Urology in Decatur, IL

Q: What is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 02, 2008

1770 E LAKE SHORE DR, SUITE 202, DECATUR, IL 62521(217) 464-2505(217) 464-1669 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Dec 22, 2021 (2 updates tracked since 2021).

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About Lake Shore Urology At St. Mary's NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SHORE UROLOGY AT ST. MARY'S (NPI 1043486731) is a healthcare organization registered as an urology in Decatur, Illinois and active in the NPI registry since May 2008. The organization lists Mark D Evard, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1043486731

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER

Location Address1770 E LAKE SHORE DR, SUITE 202Decatur, IL 62521-3832

Mailing Address3051 Hollis DrSpringfield, IL 62704-7450 · (217) 464-2505 · Fax (217) 464-1669

Phone(217) 464-2505

Fax(217) 464-1669

Organization SubpartNo

Authorized OfficialMark D EvardVp Of Revenue Cycle · (217) 492-9651

Enumeration DateMay 2, 2008

Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1043486731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1770 E LAKE SHORE DR, Decatur, IL 62521

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Other Names 1

Doing Business AsLake Shore Urology At St. Mary's

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AHMAD H AHMAD M.D.

Internal Medicine

1770 E LAKE SHORE DR, SUITE 201
DECATUR, IL 62521

Macon County (217) 428-7921

LAUREL A WALTON DO SC

Obstetrics & Gynecology

1770 E LAKE SHORE DR, STE 309
DECATUR, IL 62521

Macon County (217) 422-9740

DEBRA G. CHARVERON LCPC

Counselor (Professional)

1770 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 429-9700

AZHAR ASLAM MD LLC

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

1770 E LAKE SHORE DR, SUITE 103
DECATUR, IL 62521

Macon County (217) 422-9036

MS. KAREN L HAMMOND MSW LCSW

Social Worker (Clinical)

1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521

Macon County (217) 428-0600

DECATUR PEDIATRIC CLINIC

Pediatrics

1770 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 423-8800

DECATUR HEALTHCARE LLC

Clinic/Center (Ambulatory Surgical)

1770 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 424-1021

JAMIE SUE WARNICK MD

Pediatrics

1770 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 423-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order's NPI number?

The NPI number for St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order is 1043486731. It was assigned to this organization in the NPPES registry on May 2, 2008. The provider is doing business as Lake Shore Urology At St. Mary's.

Where is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order located?

St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order is located at 1770 E Lake Shore Dr Suite 202, Decatur, IL 62521. The listed phone number is (217) 464-2505.

What is St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.