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Deactivated NPI 1790879211 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Richard Chobanian , MD

Pediatrics • Grand Rapids, 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. Michael Chobanian has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2006
NPI Deactivation Date October 24, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Chobanian, MD was a registered Pediatrics practicing in Grand Rapids, MI. Throughout an active medical career spanning 12 years, Dr. Chobanian provided care at the practice location at 2100 RAYBROOK SE until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

2100 Raybrook Se
Suite 110

Grand Rapids, MI 495465782

Telephone 6169421000
Fax 6169421026
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.9 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
258 Specialists

Practicing in Grand Rapids, MI (2263 Statewide)

Telehealth Adoption Rate
0.8% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301035102

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Sheri Boon , RN

Registered Nurse - General Practice

NPI 1700697950

Registered Nurse

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 October 24, 2018

Record deactivated on October 24, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2100 RAYBROOK SE, SUITE 110, GRAND RAPIDS, MI 495465782 (Tel: 6169421000)

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Updated Business Mailing Address July 08, 2007

Registered at 2100 RAYBROOK SE, SUITE 110, GRAND RAPIDS, MI 495465782 (Tel: 6169421000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CHOBANIAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #4301035102 in MI)

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Initial NPI Registration & Enumeration October 02, 2006

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: 1790879211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Deactivation Date: October 24, 2018

Mailing Address

2100 Raybrook Se, Suite 110

Grand Rapids, MI 495465782

Phone: 6169421000

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.