MEDICARE: RYAN M DECORT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	OS016672	PA
2	207R00000X	Internal Medicine Physician	OS016672	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043531551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN M DECORT DO

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 SCOTLAND AVE
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-1451
Country	:	US
Telephone Number	:	717-217-6055
Fax Number	:	717-217-4329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2010
Last Update Date	:	08/22/2025

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