Mary Louise Decker MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD065216L Issued in PA

Legal business name

MARY LOUISE DECKER MD

Practice address

107 Loomis St
Wilkes Barre, PA 18702-4637

Phone

(570) 822-6036

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mary Louise Decker, MD

Title

Owner

Phone

(570) 822-6036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Louise Susan Decker, MD

  • Infectious Disease Physician
  • Scranton, PA
  • NPI 1598714891
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366593121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LOOMIS ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024637",
            "telephone_number": "570-822-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LOOMIS ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024637",
            "telephone_number": "570-822-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LOUISE DECKER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-822-6036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD065216L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017052180001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Martin, RDN, LDN
• Kara Martin
• Rafael Martinez Perez, MD. PHD.
• Kimberly Marie Martini, LSW
• Alexa Lynn Martino, RN
• Vernon Mascarenhas, M.D
• Azam Mashayekhi, CRNP-FH
• Lorianne Marie Masi, RN
• Leesa Jane Masteller, PT
• Annie Masterson, M.D.

• Infectious Disease Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.