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Deactivated NPI 1316932429 Deactivated / Inactive NPI Male Practitioner

Dr. Maurice Dean Huffman , MD

General Practice • Bettendorf, IA

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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. Maurice Huffman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Maurice Huffman, MD was a registered General Practice practicing in Bettendorf, IA. Throughout an active medical career spanning 1 years, Dr. Huffman provided care at the practice location at 4480 UTICA RIDGE RD until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

4480 Utica Ridge Rd
Suite 110

Bettendorf, IA 527221656

Telephone 5637425100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bettendorf, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Bettendorf, IA (47 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 IA 20280

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

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License IA 20280

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1725093 (IA)
Medicaid State Provider ID
0725093 (IA)
Medicaid State Provider ID
2725093 (IA)
Medicaid State Provider ID
34737600 (WI)
Commercial Insurance / Payer ID Wellmark Finley Location
28892 (IA)
Commercial Insurance / Payer ID Wellmark Office Location
04719 (IA)
Commercial Insurance / Payer ID Wellmark Maquoketa Locati
28893 (IA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Richelle Roethler , APN

Nurse Practitioner - Family

NPI 1457785859

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location May 01, 2017

Registered at 4480 UTICA RIDGE RD, SUITE 110, BETTENDORF, IA 527221656 (Tel: 5637425100)

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Updated Business Mailing Address May 01, 2017

Registered at PO BOX 850, MOLINE, IL 612660850 (Tel: 3097629711)

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Provider Name / Credentials Updated May 01, 2017

Recorded as MAURICE HUFFMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Radiology (License #20280 in IA)

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Updated Practice Location July 09, 2007

Registered at 350 NORTH GRANDVIEW, DUBUQUE, IA 520016392 (Tel: 5635821881)

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Updated Business Mailing Address July 09, 2007

Registered at 1875 UNIVERSITY AVE, PO BOX 1655, DUBUQUE, IA 520041655 (Tel: 5635566895)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MAURICE HUFFMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Radiology (License #20280 in IA)

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NPI Profile Reactivated April 17, 2006

Record officially reactivated for active practice on April 17, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 14, 2005

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: 1316932429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: May 01, 2017
Deactivation Date: March 23, 2006
Sole Proprietor: Yes

Mailing Address

Po Box 850

Moline, IL 612660850

Phone: 3097629711

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.