Dr. Willard B Avery , MD
Pediatrics • Columbia, MO
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. Willard Avery has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Willard Avery, MD was a registered Pediatrics practicing in Columbia, MO. Throughout an active medical career spanning 11 years, Dr. Avery provided care at the practice location at 3217 S PROVIDENCE RD until profile deactivation on 2017-07-06.
Practice Location & Contact Primary Location
3217 S Providence Rd
Columbia, MO 652033639
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Columbia, MO
Practicing in Columbia, MO (1616 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Pediatrics - Developmental - Behavioral Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Psychologist - Clinical Child & Adolescent
Doctor of Psychology (Psy.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 06, 2017
NPI status registered as active in NPPES database
Registered at 3217 S PROVIDENCE RD, COLUMBIA, MO 652033639 (Tel: 5738824730)
Registered at PO BOX 7687, COLUMBIA, MO 652057687 (Tel: 5738822259)
Recorded as WILLARD AVERY, MD
Pediatrics (License #MD26206 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 7687
Columbia, MO 652057687
Phone: 5738822259
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