JOSEPH F DECKER PROFESSIONAL CORP (NPI# 1366597866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366597866 |
| Entity Type | Organization |
| Organization Name | JOSEPH F DECKER PROFESSIONAL CORP |
| Practice Address |
164 S 5th Montpelier ID 83254 |
| Mailing Address |
1365 Sumac Dr Logan UT 84321-4819 |
| Practice Telephone | 4357533277 |
| Mailing Telephone | 4357533277 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH F DECKER (PRESIDENT) |
| Authorized Official Telephone | 4357533277 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M3611 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 000010001738 | 01 | |
| ID | BLUE CROSS | 80515 | 01 |
| Street Address |
164 S 5TH |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1740598614 | Bear Lake Memorial Hospital | Assisted Living Facility | 855 Boise St, Montpelier, ID 83254-1070 | 2010-09-14 |
| Find all providers in zip 83254 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376613851 | Joseph Edward Podany Jr. | Surgery | 166 S 5th St, Montpelier, ID 83254-1557 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790340834 | Idaho Surgical, LLC | Surgery | 6195 E Hunt Ave, Nampa, ID 83687-8317 | 2019-05-03 |
| 1982178596 | Huntington Laparoscopy, PC | Surgery | 222 N 2nd St Ste 107, Boise, ID 83702-6129 | 2019-01-16 |
| 1508350331 | Matthew Jacobsson | Surgery | 2920 N High Desert Way, Meridian, ID 83646-9066 | 2018-06-15 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| 1326385410 | Robert Henry Morrell | Surgery | 2061 S Springbrook Ln, Boise, ID 83706 | 2013-01-09 |
| 1992040356 | Sandpoint Surgical Associates | Surgery | 502 N Second Ave, Suite 3, Sandpoint, ID 83864-1558 | 2012-12-11 |
| 1063774727 | Ciara Rosemary Huntington | Surgery | 222 North 2nd Street, Suite 107, Boise, ID 83702 | 2012-06-08 |
| 1093086589 | Robert Sumner West | Surgery | 3621 W Fairway Dr, Coeur D Alene, ID 83815-9049 | 2012-01-16 |
| 1790012383 | Brian E O'byrne, M.d. P.a. | Surgery | 2860 Channing Way Ste 117, Idaho Falls, ID 83404-7532 | 2009-11-03 |
| 1679716591 | Daniel Paul Gay | Surgery | 404 Elm Street, Caldwell, ID 83605 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
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| 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.