ALYSSA DECKER


Address: 530 Ne Glen Oak Ave, Peoria, IL 61637-0001
Phone: 5033074888

ALYSSA DECKER (NPI# 1104447218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104447218
Entity Type Individual
Full Name ALYSSA DECKER
Credential DO
Practice Address 530 Ne Glen Oak Ave
Peoria
IL 61637-0001
Practice Telephone 5033074888
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 125.075864 IL Allopathic & Osteopathic Physicians

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1992316111 Alyssa Leigh-ann Decker Behavior Technician 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 2020-08-11
1710461009 Alyssa Catherine Decker Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8905 2018-09-21
1871032896 Alyssa Decker Speech-Language Pathologist 15 Fairfield St, Staten Island, NY 10308-1823 2017-02-23

Office Location

Street Address 530 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61637-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346235777 Jack Michael Gibson Obstetrics & Gynecology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-09-12
1053912188 Janie Clary Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-11-04
1265030548 Christina David Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-10-09
1033726831 Corry Lynn Rediger Occupational Therapist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-25
1720694094 Katelynn M Madden Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-21
1568074474 Amanda Diane Beoletto Pharmacist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-08-21
1881212892 Mohammad Mousbah Al-tabbaa Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1750909693 Mohammad Gareeb Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1376160846 Bassel Elia Abouzeid Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637 2020-07-01
1700403516 Christina Marie Spurgeon Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1265720510 Reuben Antony Pediatrics 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 2011-07-20
1366673436 Joseph William Hauter Emergency Medicine 830 Ne Glen Oak Ave, Peoria, IL 61637 2009-08-06
1437380748 Jeremy R Monroe Emergency Medicine 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 2009-08-04
1326244682 Maria S. Parr Psychiatry & Neurology Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 2007-06-25
Find all providers in zip 61637

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1578186839 Katie Michelle Stapleton Pediatrics Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 2020-05-21
1760042162 Paulette Padilla Pediatrics 3128 N Linnhill Ct, Peoria, IL 61604-1650 2019-06-18
1942799465 Khaled Faisal Abdul Rahman Pediatrics 530 Ne Glen Oak Ave Bldg 5th, Peoria, IL 61637-0001 2018-05-10
1356859128 Pleasant Pediatrics Plc Pediatrics 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 2018-01-16
1427408863 Josef Newman Pediatrics 5654 N Building, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-16
1962856054 Brittany Nichole Vaio Pediatrics 9059 W Lake Pleasant Pkwy Suite E-540, Peoria, AZ 85382 2016-04-15
1790025591 Pleasant Pediatrics Plc Pediatrics 9744 W Northern Ave, Suite 1310, Peoria, AZ 85345-4603 2013-02-15
1629365424 May C Sun Pediatrics 2401 W Alta Rd Apt 905, Peoria, IL 61615-1290 2011-06-30
1205064003 Sandhya Chaudhari Pediatrics 530 Ne Glran Oak Ave, Peoria, IL 61637-0001 2009-06-30
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61637

Improve Information

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Dataset Information

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.

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