Deactivated NPI 1427597665 Deactivated / Inactive NPI Male Practitioner

Jacob Nosewicz

General Practice • Flint, 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, Jacob Nosewicz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2017

NPI Deactivation Date July 18, 2017

Total Practice Duration ~1 Years of Practice (2017 – 2017)

Professional Overview & Biography Verified Profile Summary

Jacob Nosewicz was a registered General Practice practicing in Flint, MI. Throughout an active medical career spanning 1 years, Jacob Nosewicz provided care at the practice location at 1 HURLEY PLZ until profile deactivation on 2017-07-18.

Practice Location & Contact Primary Location

Practice Address

1 Hurley Plz

Flint, MI 485035902

Telephone 8102629000

Associated Practice Facility / Clinic

🏢 Hurley Medical Center Facility NPI 1598717480

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Flint, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Flint, 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

CMS Verified: 2023-08-23

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OH 35.149082

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

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1632 Stone St

Saginaw, MI 48602

Phone: 2482990030

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Adenike Fatiregun , MD

Student in an Organized Health Care Education/Training Program

NPI 1003541715

Doctor of Medicine (M.D.)

Francis Wells , PA-C

Physician Assistant

NPI 1013678101

Physician Assistant (Certified)

Aleena Usman

Student in an Organized Health Care Education/Training Program

NPI 1013809318

Dharma Teja Rayaprolu

Student in an Organized Health Care Education/Training Program

NPI 1013847078

Su Khine

Student in an Organized Health Care Education/Training Program

NPI 1023697307

Dr. Devon Mccoy , MD

Student in an Organized Health Care Education/Training Program

NPI 1033907860

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location March 24, 2022

Registered at 1 HURLEY PLZ, FLINT, MI 485035902 (Tel: 8102629000)

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Updated Business Mailing Address March 24, 2022

Registered at 1 HURLEY PLZ, FLINT, MI 485035902 (Tel: 8102629000)

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Updated Practice Location December 05, 2021

Registered at 1632 STONE ST, SAGINAW, MI 48602 (Tel: 2482990030)

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Updated Business Mailing Address December 05, 2021

Registered at 1632 STONE ST, SAGINAW, MI 48602

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2021

Student in an Organized Health Care Education/Training Program

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Updated Practice Location October 28, 2021

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

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Updated Business Mailing Address October 28, 2021

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

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Provider Name / Credentials Updated October 28, 2021

Recorded as JACOB NOSEWICZ

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2021

Technician, Other

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NPI Profile Deactivated July 18, 2017

Record deactivated on July 18, 2017

✅

NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 21, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

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Updated Business Mailing Address February 21, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

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Provider Name / Credentials Updated February 21, 2017

Recorded as JACOB NOSEWICZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Technician, Other

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Initial NPI Registration & Enumeration February 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1427597665

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 21, 2017

Last Update: August 23, 2023

Deactivation Date: July 18, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Hurley Plz

Flint, MI 485035902

Phone: 8102629000

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.