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Deactivated NPI 1902974371 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Charles Miller , MD

Pediatrics • St Charles, 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. Walter Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2006
NPI Deactivation Date June 15, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Miller, MD was a registered Pediatrics practicing in St Charles, IL. Throughout an active medical career spanning 15 years, Dr. Miller provided care at the practice location at 215 SOUTH 4TH AVENUE until profile deactivation on 2021-06-15.

Practice Location & Contact Primary Location

Practice Address

215 South 4th Avenue

St Charles, IL 601742913

Telephone 6305842340
Associated Practice Facility / Clinic
🏢 John H. Perryman, Md, Llc Facility NPI 1073880803

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St Charles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
20 Specialists

Practicing in St Charles, IL (3277 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

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

1 Associated Practitioners
NPI 1235242496

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 June 15, 2021

Record deactivated on June 15, 2021

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 215 SOUTH 4TH AVENUE, ST CHARLES, IL 601742913 (Tel: 6305842340)

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Updated Business Mailing Address July 08, 2007

Registered at 215 SOUTH 4TH AVENUE, ST CHARLES, IL 601742913 (Tel: 6305842340)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER MILLER, MD

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

Pediatrics

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Initial NPI Registration & Enumeration December 01, 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: 1902974371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: July 08, 2007
Deactivation Date: June 15, 2021

Mailing Address

215 South 4th Avenue

St Charles, IL 601742913

Phone: 6305842340

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.