DRS DECHECK AND MATACZYNSKI MD SC (NPI# 1194892265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194892265 |
| Entity Type | Organization |
| Organization Name | DRS DECHECK AND MATACZYNSKI MD SC |
| Practice Address |
3805b Spring St Suite250 Mount Pleasant WI 53405-1641 |
| Practice Telephone | 2626346679 |
| Practice Fax Number | 2626347935 |
| Mailing Telephone | 2626346679 |
| Mailing Fax Number | 2626347935 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | DR. JAMES D MATACZYNSKI (PRESIDENT) |
| Authorized Official Telephone | 2626346679 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31067 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31598100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376614636 | Drs Decheck and Mataczynski Md Sc | Family Medicine | 3805 B Spring Street, Suite 250, Racine, WI 53405 | 2006-11-10 |
| Street Address |
3805B SPRING ST SUITE250 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53405-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295101574 | Michael Derose | Social Worker | 3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 | 2015-08-20 |
| 1841631116 | Shin-ye Kim | Student in an Organized Health Care Education/Training Program | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2013-07-15 |
| 1568605616 | William Paul Bake | Psychiatry & Neurology | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2009-04-18 |
| 1508042060 | Radha Krishna Sanka | Ophthalmology | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2008-01-15 |
| 1922207778 | Ashley A Cyr | Physician Assistant | 3805b Spring St, Suite 230 Attn: Hazel Johnson, Mount Pleasant, WI 53405-1641 | 2007-07-12 |
| 1205935681 | James Scarpaci | Social Worker | 3805b Spring St, Suite 20, Mount Pleasant, WI 53405-1641 | 2006-09-21 |
| 1598703910 | Caleb R Lippman | Neurological Surgery | 3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 | 2006-06-04 |
| 1285613109 | James Dean Mataczynski | Family Medicine | 3805b Spring St, Suite 250, Mount Pleasant, WI 53405-1641 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533789 | Smith Family Md, Inc | Family Medicine | 990 Lake Hunter Cir Ste 101a, Mount Pleasant, SC 29464-5426 | 2019-11-26 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1386168680 | Esposito Medical Associates Ltd | Family Medicine | 599 N Church St Ste 200, Mount Pleasant, PA 15666-1004 | 2017-07-28 |
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1316349764 | Amg Crockett LLC | Family Medicine | 4955 Highway 43 N, Mount Pleasant, TN 38474-5010 | 2014-09-17 |
| 1669743357 | Carolina Family Care | Family Medicine | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2012-01-26 |
| 1538458401 | Jennifer Lo | Family Medicine | 8400 Washington Ave Ste 105, Mount Pleasant, WI 53406-3735 | 2011-03-31 |
| 1114184124 | Milad Ishak Shaker | Family Medicine | 308 Bessemer Rd, Suite 100, Mount Pleasant, PA 15666-9134 | 2008-05-19 |
| 1487820718 | Christy L. Cone | Family Medicine | 710 Johnnie Dodds Blvd Ste 315, Mount Pleasant, SC 29464-3045 | 2008-05-06 |
| 1952470965 | Justin James Woods | Family Medicine | 5401 Spring St, Mount Pleasant, WI 53406-2911 | 2006-11-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53405 |
Please comment or provide details below to improve the information on DRS DECHECK AND MATACZYNSKI MD SC.
| 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.