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Deactivated NPI 1417938549 Deactivated / Inactive NPI Male Practitioner

Dr. John Howard Judd , MD

Specialist • Poplar Bluff, 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, Dr. John Judd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2005
NPI Deactivation Date June 14, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Judd, MD was a registered Specialist practicing in Poplar Bluff, MO. Throughout an active medical career spanning 13 years, Dr. Judd provided care at the practice location at 2210 BARRON RD until profile deactivation on 2018-06-14.

Practice Location & Contact Primary Location

Practice Address

2210 Barron Rd
Suite 212

Poplar Bluff, MO 639011908

Telephone 5736863937
Fax 5736863958
Associated Practice Facility / Clinic
🏢 Gilbert D. Smith, M.d., Llc Facility NPI 1225016884

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Poplar Bluff, MO (503 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX E7630

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Imran Cheema , MD

Internal Medicine

NPI 1316992340

Doctor of Medicine (M.D.)

Dr. Juergen Bertram , MD

Internal Medicine - Hematology & Oncology

NPI 1326093022

Doctor of Medicine (M.D.)

Dr. Gene Fioretti , MD

Internal Medicine - Interventional Cardiology

NPI 1689620635

Doctor of Medicine (M.D.)

Dr. Thomas Satterly , DO

Orthopaedic Surgery

NPI 1740229921

Doctor of Osteopathic Medicine (D.O.)

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 June 14, 2018

Record deactivated on June 14, 2018

NPI Profile Active October 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 13, 2011

Registered at 2210 BARRON RD, SUITE 212, POPLAR BLUFF, MO 639011908 (Tel: 5736863937)

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Updated Business Mailing Address October 13, 2011

Registered at 2210 BARRON RD, SUITE 212, POPLAR BLUFF, MO 639011908 (Tel: 5737761007)

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Provider Name / Credentials Updated October 13, 2011

Recorded as JOHN JUDD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2011

Specialist (License #E7630 in TX)

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Initial NPI Registration & Enumeration November 07, 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: 1417938549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: October 13, 2011
Deactivation Date: June 14, 2018

Mailing Address

2210 Barron Rd, Suite 212

Poplar Bluff, MO 639011908

Phone: 5737761007

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.