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Deactivated NPI 1245210954 Deactivated / Inactive NPI Male Practitioner

Dr. Luther Wayne Ghormley , MD

General Practice • Blackwell, OK

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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. Luther Ghormley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2006
NPI Deactivation Date September 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Luther Ghormley, MD was a registered General Practice practicing in Blackwell, OK. Throughout an active medical career spanning 14 years, Dr. Ghormley provided care at the practice location at 115 W BRIDGE AVE until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

115 W Bridge Ave
Osler Clinic

Blackwell, OK 74631

Telephone 5803630410
Fax 5803630049
Associated Practice Facility / Clinic
🏢 Jeffrey R Shuart Md Pc Facility NPI 1972638773

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Blackwell, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Blackwell, OK (175 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 6078

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1114923489

Doctor of Medicine (M.D.)

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 September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active March 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 05, 2008

Registered at 115 W BRIDGE AVE, OSLER CLINIC, BLACKWELL, OK 74631 (Tel: 5803630410)

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Updated Business Mailing Address March 05, 2008

Registered at 115 W BRIDGE AVE, OSLER CLINIC, BLACKWELL, OK 746312800 (Tel: 5803630410)

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Provider Name / Credentials Updated March 05, 2008

Recorded as LUTHER GHORMLEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2008

General Practice (License #6078 in OK)

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Initial NPI Registration & Enumeration January 19, 2006

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: 1245210954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2006
Last Update: March 05, 2008
Deactivation Date: September 08, 2020

Mailing Address

115 W Bridge Ave, Osler Clinic

Blackwell, OK 746312800

Phone: 5803630410

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.