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Deactivated NPI 1689664872 Deactivated / Inactive NPI Male Practitioner

Dr. Arthur Wierenga , MD

Specialist • 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. Arthur Wierenga has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2005
NPI Deactivation Date February 06, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Arthur Wierenga, MD was a registered Specialist practicing in Jackson, MI. Throughout an active medical career spanning 20 years, Dr. Wierenga provided care at the practice location at 505 N JACKSON ST until profile deactivation on 2025-02-06.

Practice Location & Contact Primary Location

Practice Address

505 N Jackson St

Jackson, MI 492011266

Telephone 5177485500
Fax 5177809286
Associated Practice Facility / Clinic
🏢 Center For Family Health Facility NPI 1780784439

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Jackson, MI (867 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MI AW028076

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kassidy Treacey

Nurse Practitioner - Family

NPI 1003603481
Dr. Raul Andino , MD

Obstetrics & Gynecology

NPI 1033121652

Doctor of Medicine (M.D.)

Dr. Gregory Naylor , MD

Internal Medicine

NPI 1083602742

Doctor of Medicine (M.D.)

Beth Vansumeren

Community Health Worker

NPI 1093541369
NPI 1093860413

Doctor of Dental Surgery

Kylie Young , LLMSW

Social Worker - Clinical

NPI 1104420942

Limited Licensed Master Social Worker

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 February 06, 2025

Record deactivated on February 06, 2025

NPI Profile Active April 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 19, 2012

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: 5177485500)

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Updated Business Mailing Address April 19, 2012

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: 5177485500)

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Provider Name / Credentials Updated April 19, 2012

Recorded as ARTHUR WIERENGA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2012

Specialist (License #AW028076 in MI)

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Initial NPI Registration & Enumeration October 27, 2005

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: 1689664872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2005
Last Update: April 19, 2012
Deactivation Date: February 06, 2025

Mailing Address

505 N Jackson St

Jackson, MI 492011266

Phone: 5177485500

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.