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Deactivated NPI 1689651655 Deactivated / Inactive NPI Male Practitioner

Dr. Jack C Avalos , MD

Radiology - Diagnostic Radiology • Clinton, IA

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

Registration / Start Date December 29, 2005
NPI Deactivation Date February 19, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Avalos, MD was a registered Radiology - Diagnostic Radiology practicing in Clinton, IA. Throughout an active medical career spanning 21 years, Dr. Avalos provided care at the practice location at 1410 N 4TH ST until profile deactivation on 2026-02-19.

Practice Location & Contact Primary Location

Practice Address

1410 N 4th St

Clinton, IA 527322940

Telephone 5632445642
Fax 3192330722
Associated Practice Facility / Clinic
🏢 Clinton Imaging Services, Llc Facility NPI 1831187665

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Clinton, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Clinton, IA (379 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

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License IA 29895

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1336113075

Doctor of Philosophy (Ph.D.)

Dr. Raymond Schamel , MD

Radiology - Diagnostic Radiology

NPI 1336126457

Doctor of Medicine (M.D.)

Dr. Richard Watson , MD

Pathology - Anatomic Pathology

NPI 1356329627

Doctor of Medicine (M.D.)

Dr. Jonathan Snow , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1376521682

Doctor of Medicine (M.D.)

Wei Yang

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1568432615
Dr. Alan Brown , MD

Pathology - Anatomic Pathology

NPI 1619947546

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 February 19, 2026

Record deactivated on February 19, 2026

NPI Profile Active October 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2010

Registered at 1410 N 4TH ST, CLINTON, IA 527322940 (Tel: 5632445642)

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Updated Business Mailing Address October 29, 2010

Registered at PO BOX 2660, WATERLOO, IA 507042660 (Tel: 3192333044)

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Provider Name / Credentials Updated October 29, 2010

Recorded as JACK AVALOS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2010

Radiology (License #29895 in IA)

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Initial NPI Registration & Enumeration December 29, 2005

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: 1689651655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2005
Last Update: October 29, 2010
Deactivation Date: February 19, 2026

Mailing Address

Po Box 2660

Waterloo, IA 507042660

Phone: 3192333044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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