David Mark Decker, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

#780 Issued in AK

Practice address

700 G St
Conocophillips Tower Kuparuk Medical NSK 31
Anchorage, AK 99501

Phone

(907) 695-7230

Fax

(907) 695-7390

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: david.decker.1@28976.direct.athenahealth.com
• Direct secure messaging: david.decker.p1@direct.crossroadmc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cross Road Health Ministries, Inc.

  dba Cross Road Medical Center

  • Federally Qualified Health Center (FQHC)
  • Glennallen, AK
  • NPI 1609871391
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1215983499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995196105",
            "telephone_number": "907-659-7230",
            "fax_number": "907-659-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 G ST",
            "address_2": "CONOCOPHILLIPS TOWER KUPARUK MEDICAL NSK 31",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99501",
            "telephone_number": "907-695-7230",
            "fax_number": "907-695-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "#780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Pohlman, MD. PC.
• Vanessa Debrill
• Charlotte Marie Debruler
• John Decarlo, OT
• Aaron M Dechant, DC
• Mary Decourcey
• Nathan Earl Deeter
• William Randy Deeter, DDS
• Deford Rolfing LLC
• Marnie Deford

• Medical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.