DECATUR MEMORIAL HOSPITAL (NPI# 1609879097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609879097 |
| Entity Type | Organization |
| Organization Name | DECATUR MEMORIAL HOSPITAL |
| Other Organization Name | PHYSICIAN'S PLAZA PHARMACY |
| Practice Address |
2300 N Edward St Decatur IL 62526-4163 |
| Practice Telephone | 2178766252 |
| Practice Fax Number | 2178766215 |
| Mailing Telephone | 2178766252 |
| Mailing Fax Number | 2178766215 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | STEVEN WELCH (PHRMCY MGR) |
| Authorized Official Telephone | 2178766252 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054011351 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2017369 | 01 |
| Other Name | Type Code |
|---|---|
| PHYSICIAN'S PLAZA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184751273 | Decatur Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2875 N Water St, Decatur, IL 62526-4233 | 2007-02-27 |
| 1548357973 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N. Edward St., Decatur, IL 62526 | 2006-10-06 |
| 1386020402 | Decatur Memorial Hospital | Psychiatric Unit | 2300 N Edward St, Decatur, IL 62526-4163 | 2015-07-31 |
| 1598094153 | Decatur Memorial Hospital | Internal Medicine | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 | 2009-12-10 |
| 1942352273 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward St, Decatur, IL 62526-4163 | 2007-01-17 |
| 1881781342 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward, Decatur, IL 62526 | 2006-10-06 |
| 1437246865 | Decatur Memorial Hospital | Durable Medical Equipment & Medical Supplies | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2006-10-06 |
| 1588751234 | Decatur Memorial Hospital | Home Health | 2870 N Main St, Decatur Memorial Home Care, Decatur, IL 62526-3234 | 2006-10-06 |
| 1720172307 | Decatur Memorial Hospital | Hospice Care, Community Based | 2870 N Main St, Decatur, IL 62526-3234 | 2006-10-03 |
| 1164477725 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 | 2006-05-23 |
| Street Address |
2300 N EDWARD ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
| 1215538004 | Jordanna Ruth Wilton | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2020-11-06 |
| 1366054116 | Stephanie Nicole Blaha | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-08-21 |
| 1861028193 | Angelina Marie Thomas | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-03-18 |
| 1114550944 | Chelsey M Clark | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-02-20 |
| 1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
| 1003463225 | Jason Grauer | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2019-08-22 |
| 1780239434 | Maggie Kaye Matthews | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-08 |
| 1871052522 | Michelle Caroline Kronmiller | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-03-12 |
| 1013474097 | Brittney L Jeffery | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565963 | Allen Specialty Pharmacy, Inc | Pharmacy | 1816 S Fm 51 Ste 1600, Decatur, TX 76234-3665 | 2020-07-10 |
| 1801441860 | Rite Care Pharmacy | Pharmacy | 1996 Candler Rd, Decatur, GA 30032-4225 | 2019-08-07 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1730605734 | Ganesha Rx Care Group 2, LLC | Pharmacy | 2801 N Decatur Rd Ste 130, Decatur, GA 30033-5949 | 2017-08-21 |
| 1255853784 | Anchor Rx Pharmacy | Pharmacy | 2139 Lawrenceville Hwy, Decatur, GA 30033-4321 | 2017-07-17 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1508106121 | Murks Village Market Inc | Pharmacy | 108b East Delaware Street, Decatur, MI 49045 | 2013-02-19 |
| 1902162548 | Apothecary Sales Inc | Pharmacy | 3220 Highway 31 S Ste A2, Decatur, AL 35603-1731 | 2012-04-09 |
| 1760780233 | Rite Aid | Pharmacy | 1526 6th Av. Se, Decatur, AL 35601-4561 | 2011-03-08 |
| 1285943829 | Victory Pharmacy | Pharmacy | 2280 E William St, Decatur, IL 62521-1528 | 2010-09-30 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.