DPMDECKERPRCT LLC (NPI# 1407146897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407146897 |
| Entity Type | Organization |
| Organization Name | DPMDECKERPRCT LLC |
| Other Organization Name | JENNIFER DECKER, DPM |
| Practice Address |
300 Hebron Ave Suite 211 Glastonbury CT 06033-2176 |
| Mailing Address |
196 Parkway S Suite 304 Waterford CT 06385-1234 |
| Practice Telephone | 8606573668 |
| Practice Fax Number | 8606571678 |
| Mailing Telephone | 8604427027 |
| Mailing Fax Number | 8604372236 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | JENNIFER DECKER (OWNER) |
| Authorized Official Telephone | 8606573668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000853 | CT | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Jennifer Decker, DPM | Doing Business As Name - Organization |
| Street Address |
300 HEBRON AVE SUITE 211 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629410 | Joseph B Sappington | Internal Medicine | 300 Hebron Ave, Ste 213, Glastonbury, CT 06033-2176 | 2005-09-14 |
| 1609240498 | Deirdre Osypuk | Psychologist | 300 Hebron Ave, Suite 217, Glastonbury, CT 06033-2176 | 2015-11-17 |
| 1396151619 | Christopher Frank Mercier | Physician Assistant | 300 Hebron Ave, Suite 113, Glastonbury, CT 06033-2176 | 2014-07-08 |
| 1386071710 | Albert Zucchetto | Nurse Practitioner | 300 Hebron Ave, Glastonbury, CT 06033-2176 | 2013-09-30 |
| 1457699712 | Evan Fox Md, LLC | Psychiatry & Neurology | 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 | 2013-01-22 |
| 1912271545 | Rose M. Spielman | Psychologist | 300 Hebron Ave, Suite 217 Medical Arts Center, Glastonbury, CT 06033-2176 | 2012-02-29 |
| 1619245313 | Krista Dalbec Mraz | Clinical Neuropsychologist | 300 Hebron Ave, Unit 111, Glastonbury, CT 06033-2176 | 2011-12-08 |
| 1386922151 | Dpmdeckerprct, LLC | Durable Medical Equipment & Medical Supplies | 300 Hebron Ave, Suite 211, Glastonbury, CT 06033-2176 | 2011-07-28 |
| 1568694669 | Karen Michelle Freed | Nurse Practitioner | 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 | 2009-08-23 |
| 1578795225 | Eric John Whidden | Dentist | 300 Hebron Ave, Suite 112, Glastonbury, CT 06033-2176 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548524283 | Danielle Nicole Butto | Podiatrist | 27 Sycamore St Ste 300, Glastonbury, CT 06033-7208 | 2012-06-27 |
| 1679969273 | Amy E Bruce | Podiatrist | 27 Sycamore St, Glastonbury, CT 06033-7207 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
| 1538530571 | Connecticut Podiatry Group | Podiatrist | 31 Washington Ave, North Haven, CT 06473-2355 | 2015-10-16 |
| 1972974830 | Connecticut Podiatry Group,p.c. | Podiatrist | 128 Saltonstall Pkwy, East Haven, CT 06512-2425 | 2015-10-16 |
| 1760862445 | Ankur Ashok Patel | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2015-06-08 |
| 1194103200 | Sean Wayne Lazarus Dpm LLC | Podiatrist | 920 Little Meadow Rd, Guilford, CT 06437-1649 | 2015-05-08 |
| 1790172930 | Rachel Hannah Albright | Podiatrist | 800 Post Rd Ste 302, Darien, CT 06820-4622 | 2015-04-24 |
| 1023403102 | Andrew H Litchfield | Podiatrist | 1111 Cromwell Ave Bldg 4, Rocky Hill, CT 06067-3449 | 2015-04-05 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1245658681 | Chelsea Viola | Podiatrist | 350 Center Rock Grn Ste 3, Oxford, CT 06478-3170 | 2014-04-02 |
| 1871848382 | Core Podiatry LLC | Podiatrist | 1753 Meriden-waterbury Tpke, Southington, CT 06489-0770 | 2012-07-20 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.