CENTRAL ILLINOIS SURGERY CENTER, LLC (NPI# 1972572964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972572964 |
| Entity Type | Organization |
| Organization Name | CENTRAL ILLINOIS SURGERY CENTER, LLC |
| Practice Address |
304 W Hay St Suite 114 Decatur IL 62526-6328 |
| Practice Telephone | 2178768201 |
| Practice Fax Number | 2178768202 |
| Mailing Telephone | 2178768201 |
| Mailing Fax Number | 2178768202 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARSHALL F BRUSTEIN (PRESIDENT, BOARD OF DIRECTORS) |
| Authorized Official Telephone | 2178728204 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7002819 | IL | Ambulatory Health Care Facilities |
| Street Address |
304 W HAY ST SUITE 114 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| 1407397284 | Amanda Kierbs | Nurse Practitioner | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2017-03-14 |
| 1881901593 | Ryan Casey Williamson | Specialist/Technologist | 304 W Hay St, Suite 218, Decatur, IL 62526-6328 | 2010-09-02 |
| 1013161538 | Ranjodh Singh | Surgery | 304 W Hay St, Ste 313, Decatur, IL 62526-4167 | 2008-11-11 |
| 1801046958 | Marshall F. Brustein M.d. | Occupational Therapist | 304 W Hay St, Suite 112, Decatur, IL 62526-6328 | 2008-09-25 |
| 1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
| 1710172325 | Donald Walter Wendt | Physician Assistant | 304 W Hay St, Ste 111, Decatur, IL 62526-6328 | 2007-09-07 |
| 1922128388 | Decatur Neurological Associates Ltd. | Clinic/Center | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2007-03-30 |
| 1255465951 | M Stephen Huss M.d.,s.c. | Orthopaedic Surgery | 304 W Hay St, Suite 213, Decatur, IL 62526-6328 | 2007-03-15 |
| 1043355480 | Jms Hand Associates, S.c. | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-21 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1568984375 | American Access Care of Atlanta Asc LLC | Clinic/Center | 250 E Ponce Deleon Avenue, Suite 100, Decatur, GA 30030-3406 | 2017-07-13 |
| 1194255372 | Decatur Urology Surgery Center | Clinic/Center | 2711 Irvin Way Ste 101, Decatur, GA 30030 | 2017-06-19 |
| 1962513788 | Surgery Center of Decatur Lp | Clinic/Center | 1122 14th Avenue Se, Decatur, AL 35601-3361 | 2006-08-31 |
| 1891716049 | Georgia Urology Ambulatory Surgical Center LLC | Clinic/Center | 2685 Milscott Dr, Decatur, GA 30033-5906 | 2006-07-22 |
| 1134185564 | Decatur Digestive Disease Center LLC | Clinic/Center | 2 Memorial Dr Suite 102, Physician Plaza West, Decatur, IL 62526-3950 | 2006-04-25 |
| 1730601865 | Snapfinger Vascular Access Center Asc LLC | Clinic/Center | 5246 Snapfinger Park Dr, Decatur, GA 30035-4044 | 2017-07-11 |
| 1043660442 | Georgia Interventional Pain - D, LLC | Clinic/Center | 484 Irvin Ct, Suite 130, Decatur, GA 30030-5406 | 2016-06-16 |
| 1568705846 | Dekalb Center for Foot and Ankle Surgery, LLC | Clinic/Center | 215 Clairemont Ave, Decatur, GA 30030-2508 | 2013-04-04 |
| 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.