St Marys Hospital Decatur of the Hospital Sisters of the Third Order
NPI 1174702708ActiveOrganization· Physician Assistant· Decatur, IL
Physician Assistant in Decatur, Illinois, registered in NPPES in October 2007. The authorized official on file is Mark D. Evard, Vp Of Revenue Cycle.
Overview
| NPI | 1174702708 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2007 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085-003034 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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