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Deactivated NPI 1669729505 Deactivated / Inactive NPI Male Practitioner

Douglas Bruce Missman , PC

Counselor - Professional • Delaware, OH

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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, Douglas Missman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2012
NPI Deactivation Date October 25, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Douglas Missman, PC was a registered Counselor - Professional practicing in Delaware, OH. Throughout an active medical career spanning 5 years, Douglas Missman provided care at the practice location at 94 N SANDUSKY ST until profile deactivation on 2017-10-25.

Practice Location & Contact Primary Location

Practice Address

94 N Sandusky St
Suite 202

Delaware, OH 430151775

Telephone 7403988256

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Delaware, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Delaware, OH (6923 Statewide)

Telehealth Adoption Rate
3.6% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.0900243

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
Philip Krave , MA, LSW

Social Worker - Clinical

NPI 1346438397

Master of Arts, Licensed Social Worker

Linda Den Heijer , LISW-S

Social Worker - Clinical

NPI 1598952756

LISWS

Melanie Sauls , MSW, LISW

Social Worker - Clinical

NPI 1851588834

Master of Social Work, Licensed Independent Social Worker

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 October 25, 2017

Record deactivated on October 25, 2017

NPI Profile Active December 22, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2012

Registered at 94 N SANDUSKY ST, SUITE 202, DELAWARE, OH 430151775 (Tel: 7403988256)

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Updated Business Mailing Address December 22, 2012

Registered at 94 N SANDUSKY ST, SUITE 202, DELAWARE, OH 430151775 (Tel: 7403988256)

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Provider Name / Credentials Updated December 22, 2012

Recorded as DOUGLAS MISSMAN, P.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2012

Counselor (License #C.0900243 in OH)

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Initial NPI Registration & Enumeration August 09, 2012

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: 1669729505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2012
Last Update: December 22, 2012
Deactivation Date: October 25, 2017

Mailing Address

94 N Sandusky St, Suite 202

Delaware, OH 430151775

Phone: 7403988256

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.