Danny Trew Deckard, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02811 Issued in TX

Practice address

3500 Oak Lawn
Ste 600
Dallas, TX 75219-4308

Phone

(214) 520-8833

Fax

(214) 520-2956

NPI assigned

Dec 18, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Steven M Pounders MD PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1669712261
  Medicare reassignment
• Imed Physician Network, Inc.

  • Interventional Pain Medicine Physician
  • Lancaster, TX
  • NPI 1063809465
  NPD (past)

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1386973451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 N WINNETKA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083747",
            "telephone_number": "214-520-8833",
            "fax_number": "214-520-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN",
            "address_2": "STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194308",
            "telephone_number": "214-520-8833",
            "fax_number": "214-520-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKARD",
        "first_name": "DANNY",
        "middle_name": "TREW",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Decardenas, MPAS, PA-C
• Marsha Morrell Decay, CRNA
• Shagayla L. Decena, LPC
• Kaitlyn Marie Dechant, PSYD
• Jennifer Pitz Deck, DDS
• Gary G Deckelboim, M.D.
• Jacqueline S Decker, PA-C
• M'Kinna Decker
• Marshal Neil Decker, ATP, RRTS
• Meredith Decoy

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.