DR. GARY LEE DECKER (NPI# 1043274129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043274129 |
| Entity Type | Individual |
| Full Name | DR. GARY LEE DECKER |
| Credential | M.D. |
| Practice Address |
1301 Ne 1st St Pryor OK 74361-8850 |
| Practice Telephone | 9188247767 |
| Practice Fax Number | 9188246410 |
| Mailing Telephone | 9188247767 |
| Mailing Fax Number | 9188246410 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 14290 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100194650A | 05 | |
| OK | 200039950A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144279209 | Gary Raymond Decker | Internal Medicine | 545 N River St, Suite 205, Wilkes Barre, PA 18702-2600 | 2006-05-08 |
| 1356336846 | Gary Alfred Decker | Internal Medicine | 3627 University Blvd S, Suite 415, Jacksonville, FL 32216-4230 | 2005-09-12 |
| Street Address |
1301 NE 1ST ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430496 | Susan Blythe Young | Surgery | 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 | 2006-01-09 |
| 1003347279 | Ahs Pryor Hospital, LLC | General Acute Care Hospital | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2017-03-21 |
| 1699216549 | Joshua A Redmond | Family Medicine | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2017-03-11 |
| 1316293020 | Mayes County Hmpn, LLC | Family Medicine | 1301 Ne 1st St, Suite 400, Pryor, OK 74361-8850 | 2012-07-31 |
| 1508112210 | Mayes County Hmpn, LLC | Surgery | 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 | 2012-07-31 |
| 1962758672 | Mayes County Hmpn, LLC | Orthopaedic Surgery | 1301 Ne 1st St, Suite 500, Pryor, OK 74361-8850 | 2012-07-31 |
| 1124399233 | Mayes County Hmpn, LLC | Family Medicine | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2012-01-20 |
| 1003107855 | Darin Alan Gwartney | Family Medicine | 1301 Ne 1st St, Suite 400, Pryor, OK 74361-8850 | 2011-04-27 |
| 1144424821 | Jason Charles Joice | Orthopaedic Surgery | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2007-06-14 |
| 1881659746 | Baptist Healthcare of Oklahoma | Obstetrics & Gynecology | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2006-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430496 | Susan Blythe Young | Surgery | 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 | 2006-01-09 |
| 1508112210 | Mayes County Hmpn, LLC | Surgery | 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 | 2012-07-31 |
| 1780607705 | Peter Sarfatis | Surgery | 109 N Fairland St, Suite 108, Pryor, OK 74361-4228 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1588107957 | Elias Cardiovascular Disease Pllc | Surgery | 1104 E State Highway 152 Unit 2, Mustang, OK 73064-5116 | 2016-12-02 |
| 1831540608 | Eric Waetjen | Surgery | 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 | 2016-06-23 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1336554880 | Alex Jones | Surgery | 500 E Robinson St Ste 1300, Norman, OK 73071-6694 | 2014-06-24 |
| 1396159596 | Paul Mcgaha II | Surgery | 10920 Sw 30th Ter, Yukon, OK 73099-0435 | 2014-06-16 |
| 1154747053 | Haley Adams | Surgery | 115 W 13th St, Grove, OK 74344-3224 | 2014-03-15 |
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| 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.