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ST. MARY HOSPITAL PREFERRED PROFESSIONALS
NPI 1215108139
Family Medicine in Decatur, IL

Active since March 19, 2008
1800 E LAKE SHORE DR, SUITE T303, 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: October 04, 2026.

Record update history: Dec 12, 2022, Dec 22, 2021, Jan 31, 2019 (3 updates tracked since 2019).

About St. Mary Hospital Preferred Professionals NPPES

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

ST. MARY HOSPITAL PREFERRED PROFESSIONALS (NPI 1215108139) is a healthcare organization registered as a family medicine in Decatur, Illinois and active in the NPI registry since March 2008. The organization lists Mark D Evard, Vp Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215108139
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Location Address1800 E LAKE SHORE DR, SUITE T303Decatur, IL 62521-3810
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 DateMarch 19, 2008
Last NPPES UpdateOctober 31, 20243 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1215108139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1800 E LAKE SHORE DR, Decatur, IL 62521
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Other Names 1

Other NameSt. Mary Hospital Preferred Professionals

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MARY KATHERINE KENNEY PA
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
DR. MICHAEL CHOI MD
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2017
CHRISTINE M MEEKER N.P.
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2126
SOMAN NAIR MD
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2984
KRISTINA KAY BRADFORD APN
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
JACOB NUSS
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
MRS. KRISTEN LEE GROHNE SLP
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2415
MARY CRISLER
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2540

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 1215108139. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is also known as St. Mary Hospital Preferred Professionals.

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 1800 E Lake Shore Dr Suite T303, 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 Family Medicine with taxonomy code 207Q00000X.

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 23 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.