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Deactivated NPI 1477756195 Deactivated / Inactive NPI Male Practitioner

Eldon Witthuhn , SLP

Speech-Language Pathologist • Fairview Heights, IL

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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, Eldon Witthuhn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2007
NPI Deactivation Date December 27, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Eldon Witthuhn, SLP was a registered Speech-Language Pathologist practicing in Fairview Heights, IL. Throughout an active medical career spanning 11 years, Eldon Witthuhn provided care at the practice location at 141 MARKET PL until profile deactivation on 2018-12-27.

Practice Location & Contact Primary Location

Practice Address

141 Market Pl
Suite 203

Fairview Heights, IL 622082034

Telephone 6183984118
Fax 8478819640
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fairview Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Fairview Heights, IL (10321 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License KS 1171

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

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

18 Associated Practitioners
Ronnye Mcinteer , OT

Occupational Therapist

NPI 1003019738

Occupational Therapist

Kristine Potter , SLP

Speech-Language Pathologist

NPI 1003019746

Speech-Language Pathologist

Linda Rinker , OT

Occupational Therapist

NPI 1033312699

Occupational Therapist

Virginia Seidel

Physical Therapist

NPI 1174726814
Micael Dean-Stanton , SLP

Speech-Language Pathologist

NPI 1174780662

Speech-Language Pathologist

Jennifer Cowdry , PT

Physical Therapist

NPI 1225231871

Physical Therapist

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 December 27, 2018

Record deactivated on December 27, 2018

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 141 MARKET PL, SUITE 203, FAIRVIEW HEIGHTS, IL 622082034 (Tel: 6183984118)

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Updated Business Mailing Address July 08, 2007

Registered at 141 MARKET PL, SUITE 203, FAIRVIEW HEIGHTS, IL 622082034 (Tel: 6183984118)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELDON WITTHUHN, SLP

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

Speech-Language Pathologist (License #1171 in KS)

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Initial NPI Registration & Enumeration June 08, 2007

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: 1477756195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: July 08, 2007
Deactivation Date: December 27, 2018

Mailing Address

141 Market Pl, Suite 203

Fairview Heights, IL 622082034

Phone: 6183984118

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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