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Deactivated NPI 1447242789 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph Jean Rambo , MD

General Practice • Bridgman, MI

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

Registration / Start Date August 22, 2005
NPI Deactivation Date February 21, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Rambo, MD was a registered General Practice practicing in Bridgman, MI. Throughout an active medical career spanning 19 years, Dr. Rambo provided care at the practice location at 4299 LAKE ST until profile deactivation on 2024-02-21.

Practice Location & Contact Primary Location

Practice Address

4299 Lake St

Bridgman, MI 491069109

Telephone 2694656221
Fax 2694656299
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bridgman, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Bridgman, MI (445 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 MI 4301023443

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

2 Associated Practitioners
Dr. Kenneth Mays , MD

Family Medicine

NPI 1356670590

Doctor of Medicine (M.D.)

Susan Knafel , PA-C

Physician Assistant - Medical

NPI 1942376348

Physician Assistant (Certified)

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 21, 2024

Record deactivated on February 21, 2024

NPI Profile Active March 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2008

Registered at 4299 LAKE ST, BRIDGMAN, MI 491069109 (Tel: 2694656221)

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Updated Business Mailing Address March 07, 2008

Registered at PO BOX 85, 4299 LAKE STREET, BRIDGMAN, MI 491060085 (Tel: 2694656221)

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Provider Name / Credentials Updated March 07, 2008

Recorded as JOSEPH RAMBO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2008

General Practice (License #4301023443 in MI)

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Initial NPI Registration & Enumeration August 22, 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: 1447242789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: March 07, 2008
Deactivation Date: February 21, 2024

Mailing Address

Po Box 85, 4299 Lake Street

Bridgman, MI 491060085

Phone: 2694656221

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.