J Thad Decker MD PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

J THAD DECKER MD PLLC

Practice address

6567 East Corondelet
Ste 455
Tucson, AZ 85710-6155

Phone

(520) 886-6486

Fax

(520) 296-4132

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Thaddeus Decker, MD

Title

Owner/Authorized Official

Phone

(520) 886-6486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1528254166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 EAST GRANT ROAD",
            "address_2": "STE 248",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122559",
            "telephone_number": "520-298-3006",
            "fax_number": "520-296-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 EAST CORONDELET",
            "address_2": "STE 455",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106155",
            "telephone_number": "520-886-6486",
            "fax_number": "520-296-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J THAD DECKER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THADDEUS",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "520-886-6486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.