MARY LOUISE SUSAN DECKER (NPI# 1598714891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598714891 |
| Entity Type | Individual |
| Full Name | MARY LOUISE SUSAN DECKER |
| Credential | MD |
| Practice Address |
250 Pierce St Ste 203 Kingston PA 18704-5149 |
| Practice Telephone | 5707142524 |
| Practice Fax Number | 5707142531 |
| Mailing Telephone | 5707142524 |
| Mailing Fax Number | 5707142531 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD065216L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNISON HEALTH PLAN | 101303 | 01 |
| PA | 0016925830001 | 05 | |
| PA | GEISINGER HEALTH PLAN | 24497 | 01 |
| PA | HIGHMARK BLUE SHIELD | 276915 | 01 |
| PA | FIRST PRIORITY HEALTH | 806176 | 01 |
| Street Address |
250 PIERCE ST STE 203 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063464519 | Charles Kutler | Internal Medicine | 360 Washington Avr, Kingston, NY 12401-5144 | 2006-05-16 |
| 1316291594 | Albany Medical College | Internal Medicine | 142 Aaron Ct, Kingston, NY 12401-2962 | 2012-11-09 |
| 1083876452 | Aarathi Nagaraja | Internal Medicine | 360 Washington Ave, Kingston, NY 12401 | 2008-06-27 |
| 1376582015 | Marc Tack | Internal Medicine | 360 Washington Ave, Kingston, NY 12401-3702 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730324 | M. Pia De Girolamo | Internal Medicine | 624 Woodbrook Dr, Ambler, PA 19002-1828 | 2019-10-05 |
| 1922659051 | Norberto Soto | Internal Medicine | 6 Shakespeare Ct, Ivyland, PA 18974-2338 | 2019-09-20 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1033576384 | Roger J. Pomerantz | Internal Medicine | 711 Harvest Hill Dr, Chalfont, PA 18914-1526 | 2016-01-18 |
| 1013381011 | Paul Axelsen | Internal Medicine | 928 Ivycroft Rd, Wayne, PA 19087-2014 | 2015-11-15 |
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1609273119 | Margaret Trexler Hessen | Internal Medicine | 3940 Darby Rd, Bryn Mawr, PA 19010-2014 | 2014-11-26 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1114346186 | Cassandra Oehler | Internal Medicine | 1307 Federal St Ste B110, Pittsburgh, PA 15212-4773 | 2014-04-07 |
| 1477970309 | Peter Volpe | Internal Medicine | 3601 Fifth Ave Suite 5b, Pittburgh, PA 15213-1716 | 2014-03-28 |
| Find all providers with the same taxonomy | ||||
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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.