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Deactivated NPI 1831266188 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Albert , MD

Dermatology • Port Orange, FL

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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. Jack Albert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 30, 2006
NPI Deactivation Date August 31, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Albert, MD was a registered Dermatology practicing in Port Orange, FL. Throughout an active medical career spanning 11 years, Dr. Albert provided care at the practice location at 4393 RIDGEWOOD AVE SUITE 3 until profile deactivation on 2017-08-31.

Practice Location & Contact Primary Location

Practice Address

4393 Ridgewood Ave Suite 3

Port Orange, FL 32127

Telephone 3867563341
Fax 3867563341

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Port Orange, FL (1273 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

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME39688

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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 August 31, 2017

Record deactivated on August 31, 2017

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 4393 RIDGEWOOD AVE SUITE 3, PORT ORANGE, FL 32127 (Tel: 3867563341)

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Updated Business Mailing Address July 08, 2007

Registered at 4393 RIDGEWOOD AVE SUITE 3, PORT ORANGE, FL 32127 (Tel: 3867563341)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK ALBERT, MD

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

Dermatology (License #ME39688 in FL)

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Initial NPI Registration & Enumeration November 30, 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: 1831266188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 08, 2007
Deactivation Date: August 31, 2017

Mailing Address

4393 Ridgewood Ave Suite 3

Port Orange, FL 32127

Phone: 3867563341

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.