PETER DECKERS


Address: 263 Farmington Ave, Farmington, CT 06030-0001
Phone: 8606792100

PETER DECKERS (NPI# 1154326841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154326841
Entity Type Individual
Full Name PETER DECKERS
Practice Address 263 Farmington Ave
Farmington
CT 06030-0001
Practice Telephone 8606792100
Practice Fax Number 8606794815
Mailing Telephone 8606792100
Mailing Fax Number 8606794815
Enumeration Date 2005-06-17
Last Update Date 2015-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
025495 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 1254952 05

Office Location

Street Address 263 FARMINGTON AVE
City FARMINGTON
State CT
Zip Code 06030-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609879519 Michael Joseph Giordano Neurological Surgery 263 Farmington Ave, Farmington, CT 06030-0001 2005-05-24
1891394995 Ewa Jaszczolt Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-20
1295333458 Brianne Catherine Bischoff Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2020-10-10
1023622073 Michael John Arciszewski Perfusionist 263 Farmington Ave, Farmington, CT 06030-0002 2020-09-06
1073126199 Esha Bhatt Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06032-1956 2020-08-28
1689286932 Margaret Darin Physician Assistant 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-18
1174133656 Rosa Raquel Huivin Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-08-09
1336758051 Sahar Zamani Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0002 2020-07-28
1083222954 Gabriela Maria Parra Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
1780292680 Bastian Andres Rojas Espinoza Student in an Organized Health Care Education/Training Program 263 Farmington Ave, Farmington, CT 06030-0001 2020-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1063903730 Agura Afiari Student in an Organized Health Care Education/Training Program Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 2018-05-29
1750879474 Areeba Siddiqui Student in an Organized Health Care Education/Training Program 263 Farmington Avenue Mc1921, Farmington, CT 06030 2018-04-27
1508362013 Arya Saniee I Student in an Organized Health Care Education/Training Program 264 Farmington Ave, Farmington, CT 06030 2018-04-03
1679828594 Randall Morera Student in an Organized Health Care Education/Training Program 262 Farmington Ave, Farmington, CT 06030 2012-07-17
1750644365 Ugonna Ijeoma Student in an Organized Health Care Education/Training Program 260 Farmington Ave, Farmington, CT 06030 2012-06-19
1407018419 Julia Marie Toto Plastic Surgery University Physicians, 263 Farmington Avenue, Farmington, CT 06030 2008-06-30
1851456495 Jeffrey Gross Anesthesiology 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 2006-12-26
1649225269 Julian Nieves Internal Medicine 263 Famrington Avenue, Farmington, CT 06030 2006-05-23
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699726125 Bruce M Brenner Surgery 263 Farmington Ave, University of Connecticut Health Ctr, Farmington, CT 06030-3955 2006-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952599441 Glenda Grace Callender Surgery 133 Scovill St Ste 303, Waterbury, CT 06706-1127 2007-10-09
1821296500 Bret Mitchell Schipper Surgery 85 Seymour St Ste 700, Hartford, CT 06106-5533 2007-07-05
1972587830 Donald Rowe Lannin Surgery 800 Howard Ave Lowr Level, Yale Physicians Building, New Haven, CT 06519-1369 2005-12-05
1699116582 Chelsea Jeanette Semrau Surgery 114 Woodland St, Cancer Center, Hartford, CT 06105-1208 2013-07-09
1477810992 Jill Rubinstein Surgery 2800 Main St, Bridgeport, CT 06606-4292 2012-04-22
1144512740 Lindsay Ann Bliss Surgery 85 Seymour Street, Department of Surgery, Hartford, CT 06106 2011-05-14
1265666184 John William Kunstman Surgery 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 2009-05-06
1023254273 Chia-chi Wang Surgery 520 Saybrook Rd, S100, Middletown, CT 06457-4700 2008-12-17
1043414436 Mandy Sher Greenberg Surgery 761 Main Ave, Suite 203, Norwalk, CT 06851-1080 2007-06-12
1710192083 Csaba Gajdos Surgery 29 Hospital Plaza, Suite 603, Stamford, CT 06902-3602 2007-05-11
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Competitor

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City FARMINGTON
Zip Code 06030

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Dataset Information

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.

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