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Deactivated NPI 1295711976 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace Crombie White , MD

Pediatrics • Denver, CO

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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. Wallace White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 15, 2005
NPI Deactivation Date March 07, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace White, MD was a registered Pediatrics practicing in Denver, CO. Throughout an active medical career spanning 12 years, Dr. White provided care at the practice location at 850 E HARVARD AVE until profile deactivation on 2017-03-07.

Practice Location & Contact Primary Location

Practice Address

850 E Harvard Ave
Suite 305

Denver, CO 802105073

Telephone 3037785910
Fax 3037785911
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
241 Specialists

Practicing in Denver, CO (1195 Statewide)

Telehealth Adoption Rate
0.4% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CO 16695

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Monica Buelt , PA-C

Physician Assistant

NPI 1013428101

Physician Assistant (Certified)

NPI 1023177508

Doctor of Medicine (M.D.)

NPI 1033171483

MDPC

Dr. Bijan Roshan , MD

Internal Medicine - Nephrology

NPI 1043280407

Doctor of Medicine (M.D.)

NPI 1043442411

Doctor of Dental Medicine, Master of Science

Dr. John Douthit , MD

Orthopaedic Surgery

NPI 1053368027

Doctor of Medicine (M.D.)

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 March 07, 2017

Record deactivated on March 07, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 850 E HARVARD AVE, SUITE 305, DENVER, CO 802105073 (Tel: 3037785910)

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Updated Business Mailing Address July 08, 2007

Registered at 850 E HARVARD AVE, SUITE 305, DENVER, CO 802105073 (Tel: 3037785910)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE WHITE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #16695 in CO)

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Initial NPI Registration & Enumeration December 15, 2005

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: 1295711976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2005
Last Update: July 08, 2007
Deactivation Date: March 07, 2017

Mailing Address

850 E Harvard Ave, Suite 305

Denver, CO 802105073

Phone: 3037785910

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.