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Deactivated NPI 1104926195 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon Paul Miller , MD

General Practice • Richmond, 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. Gordon Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date January 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Miller, MD was a registered General Practice practicing in Richmond, IN. Throughout an active medical career spanning 16 years, Dr. Miller provided care at the practice location at 4265 S A ST until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

4265 S A St

Richmond, IN 473746049

Telephone 7659628843
Fax 7659654564
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Richmond, IN

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

Practicing in Richmond, 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 01028646A

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

Practice Associates & Co-Workers

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

40 Associated Practitioners
Angel Shepherd , BS MATS

Counselor - Mental Health

NPI 1033818463

BSMATS

Anjanette Harvey

Counselor - Addiction (Substance Use Disorder)

NPI 1073739223
Ronnie Hibbler

Counselor - Addiction (Substance Use Disorder)

NPI 1093998106
Kristina Carr

Licensed Practical Nurse

NPI 1104040500
Amy Potter , LPN

Licensed Practical Nurse

NPI 1144954843

Licensed Practical Nurse

Elizabeth Batka

Counselor - Addiction (Substance Use Disorder)

NPI 1174257133

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 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2015

Registered at 4265 S A ST, RICHMOND, IN 473746049 (Tel: 7659628843)

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Updated Business Mailing Address October 30, 2015

Registered at 4265 S A ST, RICHMOND, IN 473746049 (Tel: 7659628843)

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Provider Name / Credentials Updated October 30, 2015

Recorded as GORDON MILLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

General Practice (License #01028646A in IN)

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Initial NPI Registration & Enumeration September 22, 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: 1104926195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: October 30, 2015
Deactivation Date: January 31, 2022

Mailing Address

4265 S A St

Richmond, IN 473746049

Phone: 7659628843

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.