Lee J. Deckoff, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

L60A00075 Issued in DE

Practice address

640 S State St
Bayhealth Medical Center, Dept. of Anesthesia
Dover, DE 19901-3530

Phone

(302) 744-7089

NPI assigned

Feb 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Seaford Endoscopy Center LLC

  • Endoscopy Clinic/Center
  • Seaford, DE
  • NPI 1578608642
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1811963309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 OLD MILL RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016290",
            "telephone_number": "302-698-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "BAYHEALTH MEDICAL CENTER, DEPT. OF ANESTHESIA",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKOFF",
        "first_name": "LEE",
        "middle_name": "J.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L60A00075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew P Debo, D.O.
• Casandra Debrosse
• Vanessa Debrosse
• Matilda Korkor Decker
• Carol A. Deckoff, C.R.N.A.
• Dedicated to Women OB-GYN, P.a.
• Deemuz Center for ADHD and Anxiety Disorders LLC
• Patricia Deer, FNP
• Brandee Danielle Deibel, OTR/L
• Raymond Dela Calzada, IDMT

• Certified Registered Nurse Anesthetist in Dover, DE
• Providers in Dover, DE by specialty
• Certified Registered Nurse Anesthetist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.