Active NPI
David a Decker MD
Doing business as Cancer Care Associates PC
- Non-Pharmacy Dispensing Site
- Royal Oak, MI
National Provider Identifier
1437257433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 4301041127
- Legal business name
- DAVID A DECKER MD
- Doing business as
- Cancer Care Associates PC
- Practice address
- 3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073-6710 - Phone
- (245) 997-9000
- Fax
- (248) 997-9007
- NPI assigned
- Sep 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Whitfield
- Title
- Medical SVCS MNGR
- Phone
- (248) 997-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 4301041127 | MI | Primary |
Addresses
Primary practice location
3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073-6710
Mailing address
3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073-6710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2367325 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CANCER CARE ASSOCIATES PC
National Provider Directory
National Provider Directory- Tax ID family
- Cancer Care Associates PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Rochester Hills, MI
- NPI 1255439253
-
dba Wellpointe Laboratories
- Clinical Medical Laboratory
- Rochester Hills, MI
- NPI 1013034669
Locations
3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073
Phone (248) 551-6900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437257433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 W 13 MILE RD",
"address_2": "STE 404",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 W 13 MILE RD",
"address_2": "STE 404",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710",
"telephone_number": "245-997-9000",
"fax_number": "248-997-9007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A DECKER MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITFIELD",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "MEDICAL SVCS MNGR",
"authorized_official_telephone_number": "248-997-9000"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "MI",
"license": "4301041127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2367325",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CANCER CARE ASSOCIATES PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- 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.