Eileen June Decorah , PA-C
Physician Assistant • Blaine, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eileen Decorah has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Eileen Decorah, PA-C was a registered Physician Assistant practicing in Blaine, MN. Throughout an active medical career spanning 11 years, Eileen Decorah provided care at the practice location at 1500 109TH AVE NE until profile deactivation on 2017-05-02.
Practice Location & Contact Primary Location
1500 109th Ave Ne
Blaine, MN 554494670
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Blaine, MN
Practicing in Blaine, MN (4026 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 02, 2017
NPI status registered as active in NPPES database
Registered at 1500 109TH AVE NE, BLAINE, MN 554494670 (Tel: 8153639500)
Registered at 612 FARMER AVE, TOMAH, WI 546602237 (Tel: 6083727073)
Recorded as EILEEN DECORAH, PA-C
Physician Assistant (License #926 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
612 Farmer Ave
Tomah, WI 546602237
Phone: 6083727073
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