MARY LOUISE DECKER MD NPI 1366593121

Internal Medicine (Infectious Disease) in Wilkes Barre, PA

NPI 1366593121 Organization Internal Medicine Infectious Disease

About MARY LOUISE DECKER MD

Mary Louise Decker Md is an internal medicine provider established in Wilkes Barre, Pennsylvania specializing in internal medicine (infectious disease) . The NPI number of Mary Louise Decker Md is 1366593121 and was assigned on January 2007. The practitioner's primary taxonomy code is 207RI0200X with license number MD065216L (PA). The provider is registered as an organization and their NPI record was last updated one year ago. Mary Louise Decker Md operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mary Louise Decker Md (Owner)

An internist like Mary Louise Decker Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1366593121

Provider NameMARY LOUISE DECKER MD
Provider Location Address107 LOOMIS ST WILKES BARRE, PA 18702
Provider Mailing Address107 LOOMIS ST WILKES BARRE, PA 18702
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-16-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code207RI0200X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInfectious Disease
License No.MD065216L
License StatePA
Taxonomy DescriptionAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Business Address

MARY LOUISE DECKER MD
107 LOOMIS ST
WILKES BARRE, PA
ZIP 18702
Phone: (570) 822-6036

Get Directions


Mailing Address

MARY LOUISE DECKER MD
107 LOOMIS ST
WILKES BARRE, PA
ZIP 18702
Phone: (570) 822-6036



Authorized Official

Authorized Official Name MARY LOUISE DECKER MD
Authorized Official TitleOWNER
Authorized Official Phone(570) 822-6036

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1017052180001MEDICAID (05)PA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700034246BRADLEY D FENSTER MD PHD PC
Organization
Internal Medicine (Cardiovascular Disease)107 LOOMIS ST
WILKES BARRE, PA 18702
(570) 822-6036

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.