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Deactivated NPI 1003036526 Deactivated / Inactive NPI Male Practitioner

Dr. Keith Milo Ernst , DO

General Practice • Cloverdale, IN

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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. Keith Ernst has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2007
NPI Deactivation Date October 17, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Ernst, DO was a registered General Practice practicing in Cloverdale, IN. Throughout an active medical career spanning 15 years, Dr. Ernst provided care at the practice location at 153 N. MAIN ST. until profile deactivation on 2022-10-17.

Practice Location & Contact Primary Location

Practice Address

153 N. Main St.

Cloverdale, IN 461200188

Telephone 7657954241

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Cloverdale, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Cloverdale, IN (190 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 02000141A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 17, 2022

Record deactivated on October 17, 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 153 N. MAIN ST., CLOVERDALE, IN 461200188 (Tel: 7657954241)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 188, CLOVERDALE, IN 461200188 (Tel: 7657954241)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH ERNST, D.O.

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

General Practice (License #02000141A in IN)

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Initial NPI Registration & Enumeration April 26, 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: 1003036526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Deactivation Date: October 17, 2022

Mailing Address

Po Box 188

Cloverdale, IN 461200188

Phone: 7657954241

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.