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Deactivated NPI 1346370301 Deactivated / Inactive NPI Male Practitioner

John C. Woerner

Pediatrics • Peoria, 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, John Woerner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date October 16, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

John Woerner was a registered Pediatrics practicing in Peoria, IL. Throughout an active medical career spanning 13 years, John Woerner provided care at the practice location at 800 NE GLEN OAK AVE # CBO until profile deactivation on 2020-10-16.

Practice Location & Contact Primary Location

Practice Address

800 Ne Glen Oak Ave # Cbo

Peoria, IL 616033255

Telephone 3096807600
Fax 3096807637
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036041820

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

40 Associated Practitioners
Dr. Sarah Koscica , MD

Family Medicine

NPI 1003814625

Doctor of Medicine (M.D.)

NPI 1033405469

Doctor of Medicine (M.D.)

Edward Etherton , NP

Nurse Practitioner

NPI 1053662783

Nurse Practitioner

Marcus Mutidjo , APN

Nurse Practitioner - Family

NPI 1063825446

Advanced Practice Nurse

Dr. M. Fraser , MD

Psychiatry & Neurology - Neurology

NPI 1093928566

Doctor of Medicine (M.D.)

Madeline Gresham , WHNP

Nurse Practitioner - Women's Health

NPI 1124748009

Women's Health Nurse Practitioner

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 October 16, 2020

Record deactivated on October 16, 2020

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 11, 2015

Registered at 800 NE GLEN OAK AVE # CBO, PEORIA, IL 616033255 (Tel: 3096807600)

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Updated Business Mailing Address November 11, 2015

Registered at 320 E ARMSTRONG AVE, PEORIA, IL 616033172 (Tel: 3096807600)

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Provider Name / Credentials Updated November 11, 2015

Recorded as JOHN WOERNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Pediatrics (License #036041820 in IL)

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Initial NPI Registration & Enumeration March 07, 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: 1346370301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: November 11, 2015
Deactivation Date: October 16, 2020

Mailing Address

320 E Armstrong Ave

Peoria, IL 616033172

Phone: 3096807600

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.