DR. JENNIFER JAYNE DECKER (NPI# 1518072768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518072768 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JAYNE DECKER |
| Credential | MD |
| Practice Address |
818 Forrest Ln Waterford WI 53185 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2625143700 |
| Practice Fax Number | 2625143867 |
| Mailing Telephone | 2625143700 |
| Mailing Fax Number | 2625143865 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37978 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32347600 | 05 | |
| DEA NUMBER | BD5077347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509425 | Jennifer Decker | Counselor | 119 W Packer Ave, Sayre, PA 18840-2097 | 2020-08-17 |
| 1518201284 | Jennifer D Decker | Physician Assistant | 1101 26th St S Fl 5, Great Falls, MT 59405-5161 | 2012-11-19 |
| 1598307985 | Jennifer Decker | Occupational Therapist | 70 Dubois St, Newburgh, NY 12550-4851 | 2019-10-17 |
| 1568945624 | Jennifer Marie Decker | Occupational Therapist | 31215 Novi Rd, Novi, MI 48377-4515 | 2018-09-13 |
| 1124532312 | Jennifer Decker | Counselor | 1785 Big Hill Rd, Dayton, OH 45439-2219 | 2017-11-27 |
| 1760807598 | Jennifer Decker | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2014-03-04 |
| 1447692645 | Jennifer Marie Decker | Marriage & Family Therapist | 730 Cleveland Ave S, Saint Paul, MN 55116-1345 | 2013-07-29 |
| 1710247333 | Jennifer Sue Decker | Social Worker | 550 Summit Ave, Troy, OH 45373-3047 | 2012-05-17 |
| 1770880940 | Jennifer Decker | Pharmacist | 2363 Boundary St, Beaufort, SC 29902-3735 | 2011-02-23 |
| 1104092113 | Jennifer Rose Decker | Podiatrist | 107 E Watts St, Enterprise, AL 36330-2511 | 2008-04-30 |
| Street Address |
818 FORREST LN |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456545 | Christine M Dignan | Pediatrics | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1346355542 | Kim T Duczak | Nurse Practitioner | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| Find all providers in zip 53185 | ||||
| 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 |
|---|---|---|---|---|
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1417452996 | Kristin Randa | Family Medicine | 7010 N Tichigan Rd, Waterford, WI 53185-1760 | 2018-03-27 |
| 1588193221 | Kimberley Lynn Spencer-ion | Family Medicine | 2536 N Williams Lake Rd, Waterford, MI 48327-1054 | 2017-06-07 |
| 1760864508 | Sadeer Peter | Family Medicine | 279 Summit Dr Ste 107, Waterford, MI 48328-3364 | 2015-06-28 |
| 1720330392 | Gina Gora M D Pllc | Family Medicine | 3347 Wormer Dr, Waterford, MI 48329-2569 | 2012-10-08 |
| 1053647131 | Motown Residential Physician Pllc | Family Medicine | 852 Cedargate Ct, Waterford, MI 48328-2606 | 2009-10-26 |
| 1528290681 | Anne Bingham Pierson, M.d. | Family Medicine | 215 Parkway North, Sonalysts, Inc., Waterford, CT 06385 | 2009-08-21 |
| 1942467659 | Regional Health Services, Inc. | Family Medicine | 991 Route 19 N, Suite B, Waterford, PA 16441-9739 | 2008-05-20 |
| 1467579011 | Micalyn D Baney | Family Medicine | 218 E 3rd St, Waterford, PA 16441-9753 | 2007-03-26 |
| Find all providers in WATERFORD | ||||
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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.