DR. ROURKE DOUGLAS DECKER DO NPI 1053960088

NPI Information

  • NPI: 1053960088
  • Provider Name: DR. ROURKE DOUGLAS DECKER, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 890 VIEWMONT DR
    DICKSON CITY, PA
    ZIP 18519
  • Phone: (570) 383-0236

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NPI Details

DR. Rourke Douglas Decker, DO is a family medicine in Dickson City, PA with 6 years of experience. The provider is 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. DR. Rourke Douglas Decker, DO NPI is 1053960088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2020

The provider's business location address is:

890 VIEWMONT DR
DICKSON CITY, PA
ZIP 18519-699
Phone: (570) 383-0236

The NPI 1053960088 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 9/11/2019 and was last updated on 8/6/2024.

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
1207Q00000XFamily Medicine83221SOUTH CAROLINANo
2208600000XSurgery83221SOUTH CAROLINANo
3208D00000XGeneral Practice83221SOUTH CAROLINANo
4207Q00000XFamily MedicineOS023818PENNSYLVANIAYes

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: 11/21/2025

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