DECATUR ORTHOPEDIC CENTER, LLC
NPI 1336586114
Orthopaedic Surgery in Mt. Zion, IL

Active since June 03, 2013
104 ASHLAND AVE., MT. ZION, IL 62549(217) 864-2665 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Decatur Orthopedic Center, Llc NPPES

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

DECATUR ORTHOPEDIC CENTER, LLC (NPI 1336586114) is a healthcare organization registered as an orthopaedic surgery in Mt. Zion, Illinois and active in the NPI registry since June 2013. The organization lists Jacob D Sams, Chief Managing Member, as its authorized official.

NPPES Registry Identity

NPI1336586114
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDECATUR ORTHOPEDIC CENTER, LLC
Location Address104 ASHLAND AVE.Mt. Zion, IL 62549
Mailing Address104 Ashland Ave.Mt. Zion, IL 62549 · (217) 864-2665
Organization SubpartNo
Authorized OfficialJacob D SamsChief Managing Member · (217) 864-2665
Enumeration DateJune 3, 2013
Last NPPES UpdateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1336586114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 125-052745
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
104 ASHLAND AVE., Mt. Zion, IL 62549

Other Identifiers 2

Other1154511517IL · Individual Npi
Other1730340498IL · Individual Npi

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

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

Orthopaedic Surgery
104 ASHLAND AVE.
MT. ZION, IL 62549

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 Decatur Orthopedic Center, LLC's NPI number?

The NPI number for Decatur Orthopedic Center, LLC is 1336586114. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Decatur Orthopedic Center, LLC located?

Decatur Orthopedic Center, LLC is located at 104 Ashland Ave., Mt. Zion, IL 62549. The listed phone number is (217) 864-2665.

What is Decatur Orthopedic Center, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Decatur Orthopedic Center, LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.