Decatur Digestive Disease Center LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DECATUR DIGESTIVE DISEASE CENTER LLC

Practice address

2 Memorial Dr
Suite 102 Pysician Plaza West
Decatur, IL 62526-3950

Phone

(217) 233-0003

Fax

(217) 233-0077

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Victor Eloy, MD

Title

Medical Director

Phone

(217) 875-2640

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Decatur Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Decatur, IL
  • NPI 1477276301

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306802608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR",
            "address_2": "SUITE 102 PHYSICIAN PLAZA WEST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263950",
            "telephone_number": "217-233-0003",
            "fax_number": "217-233-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR",
            "address_2": "SUITE 102 PYSICIAN PLAZA WEST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263950",
            "telephone_number": "217-233-0003",
            "fax_number": "217-233-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR DIGESTIVE DISEASE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ELOY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "217-875-2640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00257307",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Decatur Ambulance Service, Inc.
• Decatur Athletic Club
• Decatur City Taxi & Delivery Inc
• Decatur Counseling Center, LLC
• Decatur Digestive Disease Center LLC
• Decatur Emergency Medical Services II S C
• Decatur Eyecare Associates
• Decatur Hco, LLC
• Decatur Hco, LLC
• Decatur Healthcare LLC

• Certified Registered Nurse Anesthetist in Decatur, IL
• Providers in Decatur, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.