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Deactivated NPI 1194199869 Deactivated / Inactive NPI Male Practitioner

Eric Miller , PA

Physician Assistant • Hannibal, MO

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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, Eric Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 18, 2015
NPI Deactivation Date July 28, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Eric Miller, PA was a registered Physician Assistant practicing in Hannibal, MO. Throughout an active medical career spanning 6 years, Eric Miller provided care at the practice location at 141 COMMUNICATION DR until profile deactivation on 2021-07-28.

Practice Location & Contact Primary Location

Practice Address

141 Communication Dr

Hannibal, MO 634013670

Telephone 5736031460
Fax 5736031462
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hannibal, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Hannibal, MO (1802 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2015032512

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brittany Widebrook , PN

Licensed Practical Nurse

NPI 1003454570
Taylor Leindecker , RDH

Dental Hygienist

NPI 1003598780

Registered Dental Hygienist

Wendy Straube , MA, LPC

Counselor - Professional

NPI 1003979758

Master of Arts, Licensed Professional Counselor

Dr. Ailie Sanford , DDS

Dentist - General Practice

NPI 1013576032

Doctor of Dental Surgery

Kristen Mcreynolds

Counselor - Mental Health

NPI 1053807156
Lindsey Pyse , RDH

Dental Hygienist

NPI 1053968586

Registered Dental Hygienist

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 July 28, 2021

Record deactivated on July 28, 2021

NPI Profile Active November 18, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2015

Registered at 141 COMMUNICATION DR, HANNIBAL, MO 634013670 (Tel: 5736031460)

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Updated Business Mailing Address November 18, 2015

Registered at 900 E LAHARPE ST, KIRKSVILLE, MO 635014520 (Tel: 6606651962)

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Provider Name / Credentials Updated November 18, 2015

Recorded as ERIC MILLER, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

Physician Assistant (License #2015032512 in MO)

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Initial NPI Registration & Enumeration November 18, 2015

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: 1194199869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2015
Last Update: November 18, 2015
Deactivation Date: July 28, 2021

Mailing Address

900 E Laharpe St

Kirksville, MO 635014520

Phone: 6606651962

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.