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Deactivated NPI 1538723101 Deactivated / Inactive NPI Male Practitioner

Otis Whitmore

Case Manager/Care Coordinator • Wadsworth, 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, Otis Whitmore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 29, 2019
NPI Deactivation Date July 22, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Otis Whitmore was a registered Case Manager/Care Coordinator practicing in Wadsworth, OH. Throughout an active medical career spanning 3 years, Otis Whitmore provided care at the practice location at 205 WADSWORTH RD until profile deactivation on 2022-07-22.

Practice Location & Contact Primary Location

Practice Address

205 Wadsworth Rd

Wadsworth, OH 442819580

Telephone 2342178882
Fax 2342178941

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Wadsworth, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Wadsworth, OH (35490 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Shelby Martz

Social Worker

NPI 1003521592
Kyle Petruzzi

Case Manager/Care Coordinator

NPI 1114401627
Jacob Lepoidevin

Case Manager/Care Coordinator

NPI 1114849635
Garland Nelson

Case Manager/Care Coordinator

NPI 1154212967
Matthew Wilson

Case Manager/Care Coordinator

NPI 1336733609
Shari Moore , CPRS

Case Manager/Care Coordinator

NPI 1356053847

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 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active April 29, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2019

Registered at 205 WADSWORTH RD, WADSWORTH, OH 442819580 (Tel: 2342178882)

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Updated Business Mailing Address April 29, 2019

Registered at 205 WADSWORTH RD, WADSWORTH, OH 442819580 (Tel: 2342178882)

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Provider Name / Credentials Updated April 29, 2019

Recorded as OTIS WHITMORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2019

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration April 29, 2019

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: 1538723101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2019
Last Update: April 29, 2019
Deactivation Date: July 22, 2022

Mailing Address

205 Wadsworth Rd

Wadsworth, OH 442819580

Phone: 2342178882

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.