MR. MARK HENRY DECKER


Address: 215 North 35th Street, Milwaukee, WI 53208-4106
Phone: 4149317600

MR. MARK HENRY DECKER (NPI# 1235244484) 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) 1235244484
Entity Type Individual
Full Name MR. MARK HENRY DECKER
Credential MD
Practice Address 215 North 35th Street
Milwaukee
WI 53208-4106
Mailing Address 215 North 35th Street
Milwaukee
WI 53208
Practice Telephone 4149317600
Practice Fax Number 4142719951
Mailing Telephone 4149317600
Mailing Fax Number 4142719951
Enumeration Date 2006-08-20
Last Update Date 2011-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 26951 WI Allopathic & Osteopathic Physicians
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
26951-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA NUMBER AD3290967 01
WI 31508000 05

Other Providers MARK DECKER

NPI Name Taxonomy Address Enumeration
1407829070 Mark Jeffrey Decker Family Medicine 4 Sloan Rd., West Chester, PA 19382-4304 2006-02-13
1023002862 Mark J Decker Radiology 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2598 2005-09-08

Office Location

Street Address 215 NORTH 35TH STREET
City MILWAUKEE
State WI
Zip Code 53208-4106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114176153 Concentra Health Services, Inc. Clinic/Center 215 North 35th Street, Milwaukee, WI 53208 2008-09-15
1174700058 American Current Care Pa Clinic/Center 215 North 35th Street, Milwaukee, WI 53208-4106 2008-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831662535 Mary Ehrgood Marriage & Family Therapist Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 2019-01-04
1265976989 Redeeming Hearts Home Care Agency, LLC Home Health 3223 W Lloyd St, Milwaukee, WI 53208 2016-12-14
1205379500 Benjamin Michael Bleck-owens Counselor 5508 W. Vliet Street, Milwaukee, WI 53208 2016-11-18
1730552662 John Bosnjak Pharmacist 3727 W. Wisconsin Ave., Milwaukee, WI 53208 2015-10-30
1588074991 Quad/med, LLC Clinic/Center 1301 West Canal Street, Milwaukee, WI 53208 2014-05-07
1629407226 Dhanya Jayadevan Nair Marriage & Family Therapist 3200 W. Highland Blvd., Milwaukee, WI 53208 2013-11-04
1619215704 Nurturing Concepts LLC In Home Supportive Care 5722 W North Ave, Milwaukee, WI 53208 2013-01-23
1831447986 Amy Schuldt Registered Nurse 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 2012-08-21
1144588922 Grassroots Empowerment Project Inc Community Health Worker 3732 W Wisconsin Ave, Milwaukee, WI 53208 2012-04-30
1245468180 Elizabeth Adams Registered Nurse 1917 N 34 Th St, Milwaukee, WI 53208 2009-06-30
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Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811001464 Leslie F. Martin Preventive Medicine 1155 N Mayfair Rd, Milwaukee, WI 53226-3421 2006-08-19
1154434181 Jane M. Kotchen Preventive Medicine 8701 W Watertown Plank Rd, Department of Population Health Clinic, Milwaukee, WI 53226-3548 2006-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093226144 Healthstat Onsite Clinic Hsm Sheboygan Preventive Medicine 2216 S 24th St, Sheboygan, WI 53081-5548 2017-10-17
1467982751 Healthstat Onsite Clinic Elmbrook School District Preventive Medicine 17000 W North Ave Ste 100e, Brookfield, WI 53005-4454 2017-06-19
1700315033 Healthstat Onsite Clinic City of Racine Preventive Medicine 2333 Northwestern Ave Ste 114, Racine, WI 53404-2520 2017-06-09
1790224780 Healthstat Onsite Clinic-alm Consolidated Preventive Medicine 920 10th Ave N Ste Wellness, Onalaska, WI 54650-2166 2017-02-23
1558805689 Healthstat Onsite Clinic Alm Holdings Preventive Medicine 920 10th Ave N, Onalaska, WI 54650-2166 2016-12-08
1619411733 Healthstat Onsite Clinic Jj Keller Appleton Preventive Medicine 5 Innovation Ct, Appleton, WI 54914-1742 2016-12-08
1851717698 Carl Zenz Preventive Medicine S75w20937 Field Dr, Muskego, WI 53150-8934 2014-03-17
1083640502 Constantine Dumas Preventive Medicine 2009 S Memorial Dr, Appleton, WI 54915-1222 2006-06-25
1710950266 Jean Deuster Preventive Medicine 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 2006-02-07
1497726392 Joseph Michael Zompa Preventive Medicine 3000 N Grandview Blvd, W-685, Waukesha, WI 53188-1615 2006-01-30
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Competitor

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City MILWAUKEE
Zip Code 53208

Improve Information

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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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