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Deactivated NPI 1457480063 Deactivated / Inactive NPI Male Practitioner

Dr. Lorin Dixon Whittaker , MD

Surgery • 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, Dr. Lorin Whittaker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 02, 2007
NPI Deactivation Date January 30, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Lorin Whittaker, MD was a registered Surgery practicing in Peoria, IL. Throughout an active medical career spanning 15 years, Dr. Whittaker provided care at the practice location at 624 NE GLEN OAK AVE until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

624 Ne Glen Oak Ave
2686

Peoria, IL 616033135

Telephone 3096556939
Fax 3096553630

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Peoria, IL (1624 Statewide)

Telehealth Adoption Rate
10.8% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ruidi Xu

Student in an Organized Health Care Education/Training Program

NPI 1275320913
Dr. Cynthia Guo , MD

Student in an Organized Health Care Education/Training Program

NPI 1295677847

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 January 30, 2022

Record deactivated on January 30, 2022

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 624 NE GLEN OAK AVE, 2686, PEORIA, IL 616033135 (Tel: 3096556939)

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Updated Business Mailing Address July 08, 2007

Registered at 624 NE GLEN OAK AVE, 2686, PEORIA, IL 616033135 (Tel: 3096556939)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LORIN WHITTAKER, M.D.

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

Surgery

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Initial NPI Registration & Enumeration March 02, 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: 1457480063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2007
Last Update: July 08, 2007
Deactivation Date: January 30, 2022

Mailing Address

624 Ne Glen Oak Ave, 2686

Peoria, IL 616033135

Phone: 3096556939

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.