Stokes Institute of Urology, LLC

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

Organization subpart

No

Name

Sam Stokes III, MDNPI 1558452144

Title

Owner

Phone

(618) 351-9300

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Stokes III, M.D.

  • Urology Physician
  • Carbondale, IL
  • NPI 1558452144

  Specialist

  NPD (past) Authorized official
• Don Cassidy Arnold II, M.D.

  • Urology Physician
  • Herrin, IL
  • NPI 1457501926
  NPD (past)
• Cori Starkweather, NP

  • Nurse Practitioner
  • Marion, IL
  • NPI 1932578895
  NPD (past)
• Jo Ann Rajcic, PA

  • Physician Assistant
  • Asheville, NC
  • NPI 1952349649
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "03932016",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00070868",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089297",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA7587",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00152699",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "G80608",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "632586",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "090870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "R78376",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Starflex Training & Employment Agency LLC
• Connor Stephenson, MD
• Karie E Stewart, CNM
• Erin Elizabeth Stock, MD
• Ryan Stock, M.D.
• Sam Stokes III, M.D.
• Dawn Marie Stowers, NP
• Stacy Marie Stratton, DT
• Michael A Stroud
• Sujatha Rao M.D., P.C.

• All providers in Carbondale, IL
• Specialist in Illinois

• 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.