Kristopher Wyatt Decker (NPI# 1154795227, PAC ID# 3274834171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154795227 |
| PAC ID by PECOS | 3274834171 |
| Professional Enrollment ID | I20151218000705 |
| Full Name | Kristopher Wyatt Decker |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
201 E Morrissey Dr Elkhorn WI 53121-4395 |
| Phone Number | 2627233100 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 222 Ashville Ave, Cary, NC 27518-6130 | 9198591136 | WAKEMED SPECIALISTS GROUP, LLC |
| 2076 Nc Hwy 42 W, Clayton, NC 27520-5302 | 9192344468 | WAKEMED SPECIALISTS GROUP, LLC |
| 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2627233100 | AURORA MEDICAL GROUP INC |
| 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 | 9192320322 | WAKEMED SPECIALISTS GROUP, LLC |
| 811 Us 70 Hwy W, Garner, NC 27529-2541 | 9192356565 | WAKEMED SPECIALISTS GROUP, LLC |
| 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2622495000 | AURORA MEDICAL GROUP INC |
| 1020 N 12th St, Milwaukee, WI 53233-1308 | 4142193056 | AURORA MEDICAL GROUP INC |
| 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 9197894322 | WAKEMED SPECIALISTS GROUP, LLC |
| 2930 Forestville Rd, Raleigh, NC 27616-8774 | 9192356500 | WAKEMED SPECIALISTS GROUP, LLC |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
201 E MORRISSEY DR |
| City | ELKHORN |
| State | WI |
| Zip | 53121-4395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Chapman | Qualified Audiologist | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Jane Porath | Physician Assistant | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Michael S Hobbs | Hospitalist | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Robert W Stuart | Emergency Medicine | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Jessie A Lamberty | Nurse Practitioner | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Rebecca M Ganzow-fortier | Physician Assistant | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Austin F Bacchus | Family Medicine | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Kathryn Shisler Harrod | Certified Nurse Midwife (cnm) | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Michelle L Bush | Nurse Practitioner | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Marissa Le | Otolaryngology | Aurora Medical Group Inc | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donn F Karlik | Chiropractic | 850 N Wisconsin St, Elkhorn, WI 53121-1137 | |
| James L Knavel | Orthopedic Surgery | Mercy Health System Corporation | 839 N Wisconsin St Dba, Elkhorn, WI 53121-1138 |
| Fares W Sweis | Family Medicine | Mercy Health System Corporation | 839 N Wisconsin St Dba, Elkhorn, WI 53121-1138 |
| Jeffrey A Kowalski | Family Medicine | Mercy Health System Corporation | 839 N Wisconsin St Dba, Elkhorn, WI 53121-1138 |
| Samuel J Arnold | Physical Therapy | Athletico Ltd | 1020 N Wisconsin St, Spc 1, Elkhorn, WI 53121-1165 |
| Jordan Z Olp | Physical Therapy | Athletico Ltd | 1020 N Wisconsin St, Spc 1, Elkhorn, WI 53121-1165 |
| John Hall | Optometry | 419 N Wisconsin St, Elkhorn, WI 53121-1317 | |
| Todd P Mortensen | Chiropractic | 422 N Wisconsin St A, Elkhorn, WI 53121-1318 | |
| Kyle S Berlin | Chiropractic | Kettle Moraine Health and Wellness LLC | 422 N Wisconsin St A, Elkhorn, WI 53121-1318 |
| Timothy Michael Bartz | Chiropractic | 203 W Walworth St, Elkhorn, WI 53121-1636 | |
| Find all physicians in zip 53121 | |||
| City | ELKHORN |
| Zip Code | 53121 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELKHORN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kristopher Wyatt 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.