Organization Active NPI

Stokes Institute of Urology, LLC

  • Specialist
  • Carbondale, IL
National Provider Identifier
1023217015
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036089297 Issued in IL
Legal business name
STOKES INSTITUTE OF UROLOGY, LLC
Practice address
305 W Jackson St
Suite 400
Carbondale, IL 62901-1474
Phone
(618) 351-9300
Fax
(618) 351-9307
NPI assigned
Jul 11, 2007
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sam Stokes III, MDNPI 1558452144
Title
Owner
Phone
(618) 351-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036089297 IL Primary

Addresses

Primary practice location

305 W Jackson St
Suite 400
Carbondale, IL 62901-1474

Mailing address

305 W Jackson St
Suite 400
Carbondale, IL 62901-1474
Phone (618) 351-9300

National Provider Directory

National Provider Directory

Locations

305 W Jackson St
Ste 102
Carbondale, IL 62901
Phone (618) 303-5104

305 W Jackson St
Ste 400
Carbondale, IL 62901
Phone (618) 351-4972

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1023217015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST",
            "address_2": "SUITE 400",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-351-9300",
            "fax_number": "618-351-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST",
            "address_2": "SUITE 400",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-351-9300",
            "fax_number": "618-351-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES INSTITUTE OF UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-351-9300",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036089297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.