Provider Demographics
NPI:1407737836
Name:DECKER, STEVI (CPT, RDMS)
Entity type:Individual
Prefix:
First Name:STEVI
Middle Name:
Last Name:DECKER
Suffix:
Gender:F
Credentials:CPT, RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5127 GREEN CAMP ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8876
Mailing Address - Country:US
Mailing Address - Phone:614-915-7899
Mailing Address - Fax:
Practice Address - Street 1:15 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43344-1026
Practice Address - Country:US
Practice Address - Phone:614-915-7899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2651892471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty