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GARY RAYMOND DECKER MD NPI 1144279209


NPI Information

NPI: 1144279209
Provider Name: GARY RAYMOND DECKER, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
545 N RIVER ST
SUITE 205
WILKES BARRE, PA
ZIP 18702
Phone: (570) 822-6036
Get Directions

Gary Raymond Decker, MD is an infectious disease internal medicine in Wilkes Barre, PA with 32 years of experience. The provider is 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. Gary Raymond Decker, MD NPI is 1144279209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

545 N RIVER ST
SUITE 205
WILKES BARRE, PA
ZIP 18702-600
Phone: (570) 822-6036
Fax: (570) 829-1520

The NPI 1144279209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseMD042296EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1710341OTHERPENNSYLVANIAFIRST PRIORITY LIFE
20012845610001MEDICAIDPENNSYLVANIA
38408OTHERPENNSYLVANIAGEISINGER HEALTH PLAN
4F16729MEDICARE UPINPENNSYLVANIA
5710341NNTMEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
6710341OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
7102861OTHERPENNSYLVANIAUNISON HEALTH PLAN
8075321OTHERPENNSYLVANIAFIRST PRIORITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.