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Deactivated NPI 1629205711 Deactivated / Inactive NPI Male Practitioner

Kenneth F Was , PA

Physician Assistant • 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, Kenneth Was has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2009
NPI Deactivation Date March 24, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Was, PA was a registered Physician Assistant practicing in Flint, MI. Throughout an active medical career spanning 14 years, Kenneth Was provided care at the practice location at 3499 S LINDEN RD until profile deactivation on 2023-03-24.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3499 S Linden Rd
Suite 2

Flint, MI 485073022

Telephone 8108208121
Fax 8108208335
Associated Practice Facility / Clinic
🏢 Donald J Hardman Md Pc Facility NPI 1639318892

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
152 Specialists

Practicing in Flint, MI (7057 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
27 16 $55.00 $54.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Donald Hardman , MD

Internal Medicine

NPI 1013906700

Doctor of Medicine (M.D.)

Megan Wylie

Nurse Practitioner

NPI 1043012271
Dr. Eugene Chardoul , MD

Internal Medicine

NPI 1154360378

Doctor of Medicine (M.D.)

Hannah Davies

Physician Assistant

NPI 1538018056

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 March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active June 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 04, 2013

Registered at 3499 S LINDEN RD, SUITE 2, FLINT, MI 485073022 (Tel: 8108208121)

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Updated Business Mailing Address June 04, 2013

Registered at PO BOX 44047, DETROIT, MI 482440047 (Tel: 8108208121)

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Provider Name / Credentials Updated June 04, 2013

Recorded as KENNETH WAS, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2013

Physician Assistant

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Initial NPI Registration & Enumeration June 16, 2009

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: 1629205711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2009
Last Update: June 04, 2013
Deactivation Date: March 24, 2023

Mailing Address

Po Box 44047

Detroit, MI 482440047

Phone: 8108208121

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.