MR. DAVID MARK DECKER


Address: 700 G St, Conocophillips Tower Kuparuk Medical Nsk 31, Anchorage, AK 99501
Phone: 9076957230

MR. DAVID MARK DECKER (NPI# 1215983499) 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) 1215983499
Entity Type Individual
Full Name MR. DAVID MARK DECKER
Credential PA
Practice Address 700 G St
Conocophillips Tower Kuparuk Medical Nsk 31
Anchorage
AK 99501
Mailing Address Po Box 196105
Anchorage
AK 99519-6105
Practice Telephone 9076957230
Practice Fax Number 9076957390
Mailing Telephone 9076597230
Mailing Fax Number 9076597390
Enumeration Date 2006-05-26
Last Update Date 2010-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
#780 AK Physician Assistants & Advanced Practice Nursing Providers

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1801856711 David A Decker Internal Medicine 2501 N Orange Ave, Suite 249, Orlando, FL 32804-4603 2006-03-24
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Office Location

Street Address 700 G ST
CONOCOPHILLIPS TOWER KUPARUK MEDICAL NSK 31
City ANCHORAGE
State AK
Zip Code 99501

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1033770672 Kathy Eileen Mailelle Behavior Technician 8000 West End Road, Anchorage, AK 99501 2019-06-25
1306312574 Patricia Estella Gould Marriage & Family Therapist 731 N St, Anchorage, AK 99501 2018-10-15
1497235642 Beth Alta Fletcher Specialist 737 W 5th Ave Ste 202, Anchorage, AK 99501 2018-08-17
1699289645 Jae Won Lee Dentist 726 E. 9th Avenue, Anchorage, AK 99501 2017-11-29
1649797796 Seong Guy Hyung Dentist 726 E 9th Avenue, Anchorage, AK 99501 2017-08-29
1871952705 Warren Anderson Massage Therapist 737 West 5th Avenue Suite 202, Anchorage, AK 99501 2016-02-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972980639 Jesika Harrell Physician Assistant 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 2015-05-01
1770977571 Audrey Christine Kelley Physician Assistant 9150 Jewel Lake Rd # B, Anchorage, AK 99502-5381 2015-03-19
1851799027 Jennifer Anne Fayette Physician Assistant 2741 Debarr Rd Ste C302, Anchorage, AK 99508-2972 2014-12-19
1053667956 Heather Cherie Pollard Physician Assistant 4000 Ambassador Drive, Chap Training, Anchorage, AK 99508 2012-07-28
1033447909 Gregory Scott Hackenbruch Physician Assistant 2741 Debarr Road, Suite 307, Anchorage, AK 99508 2009-12-03
1265553481 Joanie Randle Physician Assistant 3330 Arctic Blvd, Anchorage, AK 99503-4523 2007-04-03
1568587517 William D Crabtree Sr. Physician Assistant 6436 Southpointe Ridge Dr, Anchorage, AK 99516-6219 2007-03-20
1245315779 Carl Lester Brown Jr. Physician Assistant 300 West Dimond Blvd., Suite 12, Anchorage, AK 99515 2006-10-25
1952497547 John Burton Henley II Physician Assistant 1500 Debarr Rd, Vamroc Outpatient Clinic, Anchorage, AK 99514-3707 2006-10-04
1700990371 Clayton E Langland Physician Assistant 9525 King St., Medical Department - Lipinski, Anchorage, AK 99515-0000 2006-08-19
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Competitor

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City ANCHORAGE
Zip Code 99501

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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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