Organization Active NPI

Mark E Decheck MD SC

  • Family Medicine Physician
  • Mount Pleasant, WI
National Provider Identifier
1124594361
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK E DECHECK MD SC
Practice address
3805B Spring St Ste 250
Mount Pleasant, WI 53405-1643
Phone
(262) 687-8685
Fax
(262) 634-7935
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark E Decheck, MD
Title
President
Phone
(262) 687-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3805B Spring St Ste 250
Mount Pleasant, WI 53405-1643

Mailing address

3805B Spring St Ste 250
Mount Pleasant, WI 53405-1643
Phone (262) 687-8685

National Provider Directory

National Provider Directory

Locations

3805B Spring St
Ste 250
Mount Pleasant, WI 53405
Phone (262) 631-8550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1124594361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 250",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051643",
            "telephone_number": "262-687-8685",
            "fax_number": "262-634-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 250",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051643",
            "telephone_number": "262-687-8685",
            "fax_number": "262-634-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E DECHECK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "DECHECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-687-8685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.