Gordon William Decker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00014490 Issued in WA

Practice address

801 W 5TH Ave
Ste 109
Spokane, WA 99204-2823

Phone

(509) 838-4491

Fax

(509) 747-0418

NPI assigned

Nov 9, 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

Doctor of Medicine

State licenses

Practice roles

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.

• Columbia Medical Associates LLC

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1154414761
  NPD (past)
• Inland Empire Hospital Services Association

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1326002163
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902976723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2808",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202823",
            "telephone_number": "509-688-6702",
            "fax_number": "509-688-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "STE 109",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-838-4491",
            "fax_number": "509-747-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "GORDON",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00014490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Warren Decato, M.D,
• Christiane Dechert, M.A., CCC-SLP
• Daleen Deck, M.A.
• Christy Lynn Decker, ND, DACM, DIPL. AC.
• Ethan Harrison Decker
• Stephanie Decker
• Brian Patrick Dedominick, BA
• Nathaniel Lawrence Deering, PHARMD
• Adam A Defaa
• Armand V Defelice, DDS

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.