Douglas C Decker, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

F6561 Issued in TX

Practice address

1250 8TH Avenue
Suite 445
Fort Worth, TX 76104-4144

Phone

(817) 923-0022

Fax

(817) 921-2801

NPI assigned

Jul 17, 2006

Last updated

Sep 30, 2011By the provider in NPPES

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

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical Branch at Galveston, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palo Pinto County Hospital DistrictGroup PAC ID 5890602759, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076
  Medicare reassignment Care Compare group NPD
• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment NPD
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • Hospitalist Physician
  • Mineral Wells, TX
  • NPI 1104874767

  Obstetrics & Gynecology

  NPD
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital Pulmonology

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582
  NPD
• Palo Pinto County Hospital District

  dba Palo Pinto Mobile Clinic

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1376278366
  NPD
• Palo Pinto County Hospital District

  dba Community Care Center

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1922056993

  Obstetrics & Gynecology

  NPD
• Texas Health Care, P.L.L.C.

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1245686617
  NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352

  Obstetrics & Gynecology

  NPD
• Palo Pinto County Hospital District

  dba Community Care Center Family Plannning

  • Ambulatory Family Planning Facility
  • Mineral Wells, TX
  • NPI 1376756460
  NPD (past)
• Palo Pinto County Hospital District

  dba Community Care Center

  • Rural Health Clinic/Center
  • Mineral Wells, TX
  • NPI 1689659765
  NPD (past)
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602
  NPD (past)
• Texas Health Care, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1912063371
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1629096128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-921-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVENUE",
            "address_2": "SUITE 445",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044144",
            "telephone_number": "817-923-0022",
            "fax_number": "817-921-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F6561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "160059727",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099844503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Decatur Hospital Authority (Ridgmar Medical Lodge)
• Decatur Hospital Authority (Wise Health Emergency Center)
• Decatur Hospital Authority (dfw nursing & rehab)
• Decatur Hospital Authority (Wise Health Surgical Hospital Secondary)
• Decatur Hospital Authority (Fort Worth Transitional Care Center)
• Tiffany Blair Decker, COTA
• Justin E Decoux, NP
• Connie E Dedmon, PNP
• Carra Michelle Dedusevic, APRN
• Adrianne Deem, MD

• Obstetrics & Gynecology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.