St Marys Hospital Decatur of the Hospital Sisters of the Third Order
NPI 1174702708 · Physician Assistant · Decatur, IL
St Marys Hospital Decatur of the Hospital Sisters of the Third Order is a Physician Assistant organization in Decatur, IL (NPI 1174702708).
Provider details
- NPI number
- 1174702708
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mark Evard, Vp of Revenue Cycle(217) 492-9651
- License
- 085-003034 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Sports & Physical Medicine Clinic @ St. Mary'S
- Doing business as
- The Sports & Physical Medicine Clinic @ St. Mary'S
Registry dates
- Enumerated
- 2007-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is St Marys Hospital Decatur of the Hospital Sisters of the Third Order's NPI number?
- St Marys Hospital Decatur of the Hospital Sisters of the Third Order's National Provider Identifier (NPI) is 1174702708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Marys Hospital Decatur of the Hospital Sisters of the Third Order?
- St Marys Hospital Decatur of the Hospital Sisters of the Third Order is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- 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's practice location on file with NPPES is 1900 E Lake Shore Dr, Decatur, IL 62521-3824.
- What is St Marys Hospital Decatur of the Hospital Sisters of the Third Order's phone number?
- The practice phone number listed in the NPPES registry for St Marys Hospital Decatur of the Hospital Sisters of the Third Order is (217) 464-1030.
- Who is the authorized official for St Marys Hospital Decatur of the Hospital Sisters of the Third Order?
- The authorized official listed on St Marys Hospital Decatur of the Hospital Sisters of the Third Order's NPPES record is Mark Evard, Vp of Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Marys Hospital Decatur of the Hospital Sisters of the Third Order's NPI active?
- Yes — St Marys Hospital Decatur of the Hospital Sisters of the Third Order's NPI (1174702708) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.