Connie J Decker (NPI# 1902860265, PAC ID# 1456538933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902860265 |
| PAC ID by PECOS | 1456538933 |
| Professional Enrollment ID | I20110609000512 |
| Full Name | Connie J Decker |
| Organization Legal Name | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| Address |
802 Mckinley St Bolivar PA 15923 |
| Phone Number | 7246764709 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294723359 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390110 | MEMORIAL MEDICAL CENTER |
| 390173 | INDIANA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 802 Mckinley St, Bolivar, PA 15923 | 7246764709 | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| Organization Legal Name | INDIANA HEALTHCARE PHYSICIAN SERVICES INC |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Pohl | Physician Assistant | Indiana Healthcare Physician Services Inc | 879 Hospital Rd, Indiana, PA 15701-3629 |
| Christopher T Horner | Nurse Practitioner | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| Morgan A Daugherty | Clinical Social Worker | Indiana Healthcare Physician Services Inc | 850 Hospital Rd, Suite 1200, Indiana, PA 15701-3662 |
| Ruth B Woolcock | Internal Medicine | Indiana Healthcare Physician Services Inc | 15 S 8th St, Suite 301, Indiana, PA 15701-2776 |
| Joseph W Meyn | Obstetrics/gynecology | Indiana Healthcare Physician Services Inc | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 |
| Joseph Dominic Conti | Urology | Indiana Healthcare Physician Services Inc | 1265 Wayne Ave, 206 Mushtaq A Syed Md, Indiana, PA 15701-3578 |
| Gustavo J Franco Vasquez | General Surgery | Indiana Healthcare Physician Services Inc | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 |
| David Benhayon | Psychiatry | Indiana Healthcare Physician Services Inc | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3663 |
| Michael K Sauter | Neurology | Indiana Healthcare Physician Services Inc | 850 Hospital Rd, Suite 2200, Indiana, PA 15701-3663 |
| Rebecca Gamble | Physician Assistant | Indiana Healthcare Physician Services Inc | 879 Hospital Rd, Indiana, PA 15701-3629 |
| Street Address |
802 MCKINLEY ST |
| City | BOLIVAR |
| State | PA |
| Zip | 15923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher T Horner | Nurse Practitioner | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| Jennifer D Stirling | Nurse Practitioner | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| Victor S Lan | General Practice | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| Patricia Rosko Kubistek | Clinical Social Worker | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| Charlotte A Kaplon | Family Practice | Indiana Healthcare Physician Services Inc | 802 Mckinley St, Bolivar, PA 15923 |
| City | BOLIVAR |
| Zip Code | 15923 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOLIVAR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Connie J Decker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.