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Deactivated NPI 1588823090 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph Friedrich Otten , DO

Internal Medicine • Jackson, 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. Ralph Otten has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2008
NPI Deactivation Date March 16, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Otten, DO was a registered Internal Medicine practicing in Jackson, MI. Throughout an active medical career spanning 10 years, Dr. Otten provided care at the practice location at 1001 BRIGHTON ROAD until profile deactivation on 2018-03-16.

Practice Location & Contact Primary Location

Practice Address

1001 Brighton Road

Jackson, MI 492033803

Telephone 5177821303

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Jackson, MI (6010 Statewide)

Telehealth Adoption Rate
5.7% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 5101004721

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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 16, 2018

Record deactivated on March 16, 2018

NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2008

Registered at 1001 BRIGHTON ROAD, JACKSON, MI 492033803 (Tel: 5177821303)

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Updated Business Mailing Address June 09, 2008

Registered at 1001 BRIGHTON ROAD, JACKSON, MI 492033803 (Tel: 5177821303)

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Provider Name / Credentials Updated June 09, 2008

Recorded as RALPH OTTEN, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Internal Medicine (License #5101004721 in MI)

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Initial NPI Registration & Enumeration June 09, 2008

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: 1588823090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: June 09, 2008
Deactivation Date: March 16, 2018

Mailing Address

1001 Brighton Road

Jackson, MI 492033803

Phone: 5177821303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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