MR. JUSTIN THOMAS DECKER


Address: 501 N Park Ave Ste 120, Tucson, AZ 85719-5034
Phone: 5202849200

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).

Provider Overview

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

Taxonomy

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

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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

Office Location

Street Address 501 N PARK AVE STE 120
City TUCSON
State AZ
Zip Code 85719-5034

Providers in the same zip code

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
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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
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
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Competitor

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City TUCSON
Zip Code 85719

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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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