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Deactivated NPI 1861716771 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Elmer Cooley , MD

General Practice • Gowen, 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. Paul Cooley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2010
NPI Deactivation Date September 11, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Cooley, MD was a registered General Practice practicing in Gowen, MI. Throughout an active medical career spanning 15 years, Dr. Cooley provided care at the practice location at 11240 W KICKLAND RD until profile deactivation on 2025-09-11.

Practice Location & Contact Primary Location

Practice Address

11240 W Kickland Rd

Gowen, MI 493269622

Telephone 6167541618

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Gowen, MI

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

Practicing in Gowen, 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 L1249863

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

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 September 11, 2025

Record deactivated on September 11, 2025

NPI Profile Active March 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 22, 2010

Registered at 11240 W KICKLAND RD, GOWEN, MI 493269622 (Tel: 6167541618)

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Updated Business Mailing Address March 22, 2010

Registered at 11240 W KICKLAND RD, GOWEN, MI 493269622 (Tel: 6167541618)

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Provider Name / Credentials Updated March 22, 2010

Recorded as PAUL COOLEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2010

General Practice (License #L1249863 in MI)

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Initial NPI Registration & Enumeration March 22, 2010

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: 1861716771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2010
Last Update: March 22, 2010
Deactivation Date: September 11, 2025

Mailing Address

11240 W Kickland Rd

Gowen, MI 493269622

Phone: 6167541618

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.