Joel R Dekoning, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19412 Issued in WI

Practice address

412 Crescent Dr
Wausau, WI 54401-2629

Phone

(715) 675-6334

NPI assigned

Sep 20, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1689772436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CRESCENT DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CRESCENT DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012629",
            "telephone_number": "715-675-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKONING",
        "first_name": "JOEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "19412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31129300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danijela Decker, RRT
• Matthew John Deets, LPC
• Norman F Deffner, M.D.
• Kayla Degner, PT, DPT
• Rylee Dehnel, DDS
• Alesha Marie Delano
• Craig L Delisle, RN
• Hannah Deloye, RN, BSN
• Steven B Demille, D.D.S.
• Julie M Denardis, PHARM. D

• Obstetrics & Gynecology Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.