DRS DECHECK AND MATACZYNSKI MD SC NPI 1376614636

NPI Information

  • NPI: 1376614636
  • Provider Name: DRS DECHECK AND MATACZYNSKI MD SC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3805 B SPRING STREET
    SUITE 250
    RACINE, WI
    ZIP 53405
  • Phone: (262) 634-6679

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NPI Details

DRS DECHECK AND MATACZYNSKI MD SC is a family medicine in Racine, WI. 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. DRS DECHECK AND MATACZYNSKI MD SC NPI is 1376614636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3805 B SPRING STREET
SUITE 250
RACINE, WI
ZIP 53405
Phone: (262) 634-6679
Fax: (262) 634-7935

The provider's authorized official is Mark E Decheck .
The authorized official title is President and has the following contact phone number (262) 634-6679.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 4/22/2015.

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 MedicineWISCONSINYes

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
127946OTHERWISCONSINLICENSE
2B54855MEDICARE UPIN
3B52361MEDICARE UPIN
430593800MEDICAIDWISCONSIN
525991OTHERWISCONSINLICENSE
630772700MEDICAIDWISCONSIN
70000 90530OTHERWISCONSINMEDICARE NUMBER FOR CORPORATION

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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