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Deactivated NPI 1689884264 Deactivated / Inactive NPI Male Practitioner

Roosevelt Harris

Driver • Milwaukee, WI

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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, Roosevelt Harris has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date November 03, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Roosevelt Harris was a registered Driver practicing in Milwaukee, WI. Throughout an active medical career spanning 15 years, Roosevelt Harris provided care at the practice location at 1000 N 92ND ST until profile deactivation on 2022-11-03.

Practice Location & Contact Primary Location

Practice Address

1000 N 92nd St

Milwaukee, WI 532263533

Telephone 4144799400
Fax 4142591663
Associated Practice Facility / Clinic
🏢 Curative Care Network, Inc. Facility NPI 1083755177

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
164 Specialists

Practicing in Milwaukee, WI (262 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License WI H620-7204-2008-00

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013126259
NPI 1013127398
NPI 1013127646
NPI 1013196146
NPI 1023228384
NPI 1083823280

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 November 03, 2022

Record deactivated on November 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1000 N 92ND ST, MILWAUKEE, WI 532263533 (Tel: 4144799400)

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Updated Business Mailing Address July 08, 2007

Registered at 1137 N 26TH ST, MILWAUKEE, WI 532331022 (Tel: 4144799400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROOSEVELT HARRIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Driver (License #H620-7204-2008-00 in WI)

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Initial NPI Registration & Enumeration May 23, 2007

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: 1689884264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Deactivation Date: November 03, 2022

Mailing Address

1137 N 26th St

Milwaukee, WI 532331022

Phone: 4144799400

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.