Active NPIIndividual provider

Tamara K Decker, PA-C

Physician Assistant in Beverly, Massachusetts

NPI Number1710320098
Practice location
152 Conant St Ste 301, Beverly, MA 01915-1659
Fax
—
Last updated
August 5, 2025

Tamara K Decker is a Physician Assistant based in Beverly, MA. Tamara K Decker practices in Beverly, MA and has the professional credentials of PA-C. The NPI Number for Tamara K Decker is 1710320098 and holds a License No. PA4625 (MA). The current practice location address for Tamara K Decker is 152 Conant St Ste 301, Beverly, MA 01915-1659 and can be reached out via phone at 978-927-3040.

Provider Profile Details

NPI Number
1710320098
Provider Name
Tamara K Decker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
152 Conant St Ste 301, Beverly, MA 01915-1659
Phone Number
978-927-3040
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2013
Last Update Date
August 5, 2025
Certification Date
August 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
152 Conant St Ste 301
Beverly, MA 01915-1659
Zip
01915-1659
Phone Number
978-927-3040
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
PA4625
License State (1)
MA
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
4625
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tamara K Decker, PA-C?

The NPI number of Tamara K Decker, PA-C is 1710320098. It was assigned on April 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Tamara K Decker, PA-C?

Tamara K Decker, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4625.

Where does Tamara K Decker, PA-C practice?

The practice location is 152 Conant St Ste 301, Beverly, MA 01915-1659. The office can be reached at 978-927-3040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710320098 directly on the NPPES registry website.

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