MR. JUSTIN THOMAS DECKER (NPI# 1639132301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639132301 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN THOMAS DECKER |
| Credential | PA-C |
| Practice Address |
501 N Park Ave Ste 120 Tucson AZ 85719-5034 |
| Mailing Address |
1 Jarrett White Rd Tripler Army Med Center Atten: Mchk-qs Tripler Amc HI 96859-5000 |
| Practice Telephone | 5202849200 |
| Mailing Telephone | 8084332460 |
| Mailing Fax Number | 8084331588 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700442068 | Justin Decker | Specialist/Technologist | 223 E 1640 N, Pleasant Grove, UT 84062-9288 | 2019-05-13 |
| 1083975445 | Justin Michael Decker | Social Worker | 626 Revolution Street, Havre De Grace, MD 21078 | 2012-06-01 |
| Street Address |
501 N PARK AVE STE 120 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1013499599 | Jeremy Robert Thomas | Physician Assistant | 5230 E Farness Dr Ste 100, Tucson, AZ 85712-2141 | 2018-08-31 |
| 1679859920 | Jamie Wystrach | Physician Assistant | 6127 N La Cholla Blvd Ste 101, Tucson, AZ 85741-3744 | 2011-11-01 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1366692238 | Judith Kaye Jones | Physician Assistant | 501 N Park Ave, 110, Tucson, AZ 85719-5034 | 2008-09-26 |
| 1316146681 | Britni Reann Mcbryde | Physician Assistant | 2260 W. Orange Grove Rd, Tucson, AZ 85741 | 2007-07-16 |
| 1275614786 | Amy Vinik | Physician Assistant | 1601 W St. Mary's Road, Tucson, AZ 85745 | 2006-10-18 |
| 1689611956 | Cushing Street Family Practice PC | Physician Assistant | 58 W Cushing St, Tucson, AZ 85701-2218 | 2006-06-02 |
| 1477520484 | Carlos Martin Aguilar | Physician Assistant | 1460 W Valencia Rd Ste 141, Tucson, AZ 85746-6001 | 2006-03-08 |
| 1518932136 | Darek Anderson | Physician Assistant | 1595 E River Rd Ste 201, Tucson, AZ 85718-5984 | 2006-02-17 |
| Find all providers in TUCSON | ||||
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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.