MARY LOUISE DECKER MD NPI 1366593121

NPI Information

  • NPI: 1366593121
  • Provider Name: MARY LOUISE DECKER MD
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Address: 107 LOOMIS ST
    WILKES BARRE, PA
    ZIP 18702
  • Phone: (570) 822-6036

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NPI Details

MARY LOUISE DECKER MD is an infectious disease internal medicine in Wilkes Barre, PA. 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. MARY LOUISE DECKER MD NPI is 1366593121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 LOOMIS ST
WILKES BARRE, PA
ZIP 18702-637
Phone: (570) 822-6036

The provider's authorized official is Mary Louise Decker .
The authorized official title is Owner and has the following contact phone number (570) 822-6036.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

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 DiseaseMD065216LPENNSYLVANIAYes

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
11017052180001MEDICAIDPENNSYLVANIA

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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