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Deactivated NPI 1104875251 Deactivated / Inactive NPI Male Practitioner

Dr. Edward John Miller , MD

General Practice • Ventura, CA

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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, Dr. Edward Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2006
NPI Deactivation Date August 03, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Miller, MD was a registered General Practice practicing in Ventura, CA. Throughout an active medical career spanning 11 years, Dr. Miller provided care at the practice location at 3591 WILLOWICK DR until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

3591 Willowick Dr

Ventura, CA 930031049

Telephone 8059908109

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ventura, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Ventura, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A28647

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active February 12, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 12, 2014

Registered at 3591 WILLOWICK DR, VENTURA, CA 930031049 (Tel: 8059908109)

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Updated Business Mailing Address February 12, 2014

Registered at 3591 WILLOWICK DR, VENTURA, CA 930031049 (Tel: 8059908109)

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Provider Name / Credentials Updated February 12, 2014

Recorded as EDWARD MILLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2014

General Practice (License #A28647 in CA)

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Initial NPI Registration & Enumeration May 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104875251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2006
Last Update: February 12, 2014
Deactivation Date: August 03, 2017

Mailing Address

3591 Willowick Dr

Ventura, CA 930031049

Phone: 8059908109

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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