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Deactivated NPI 1215918594 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth W Gitlin , MD

Orthopaedic Surgery • Southfield, 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. Kenneth Gitlin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2005
NPI Deactivation Date October 05, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Gitlin, MD was a registered Orthopaedic Surgery practicing in Southfield, MI. Throughout an active medical career spanning 15 years, Dr. Gitlin provided care at the practice location at 27207 LAHSER RD until profile deactivation on 2020-10-05.

Practice Location & Contact Primary Location

Practice Address

27207 Lahser Rd
Ste 200b

Southfield, MI 480342168

Telephone 2486631900
Fax 2486631902
Associated Practice Facility / Clinic
🏢 Advanced Mri Imaging, Pllc Facility NPI 1295996080

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Southfield, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
32 Specialists

Practicing in Southfield, MI (1014 Statewide)

Telehealth Adoption Rate
18.8% 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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301026393

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

37 Associated Practitioners
Dr. James Verner , MD

Orthopaedic Surgery

NPI 1043292261

Doctor of Medicine (M.D.)

Eleanor Wiedeman , PA-C

Physician Assistant - Medical

NPI 1053067181

Physician Assistant (Certified)

Dr. Mark Mounayer , MD

Anesthesiology - Pain Medicine

NPI 1073855383

Doctor of Medicine (M.D.)

Dr. Jad Khalil , MD

Orthopaedic Surgery

NPI 1124237912

Doctor of Medicine (M.D.)

Dr. Joel Schechet , MD

Pain Medicine - Interventional Pain Medicine

NPI 1154307437

Doctor of Medicine (M.D.)

Dr. David Collon , MD

Orthopaedic Surgery

NPI 1194707497

Doctor of Medicine (M.D.)

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 05, 2020

Record deactivated on October 05, 2020

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 27207 LAHSER RD, STE 200B, SOUTHFIELD, MI 480342168 (Tel: 2486631900)

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Updated Business Mailing Address July 08, 2007

Registered at 27207 LAHSER RD, STE 200B, SOUTHFIELD, MI 480342168 (Tel: 2486631900)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH GITLIN, MD

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

Orthopaedic Surgery (License #4301026393 in MI)

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Initial NPI Registration & Enumeration November 14, 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: 1215918594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: July 08, 2007
Deactivation Date: October 05, 2020

Mailing Address

27207 Lahser Rd, Ste 200b

Southfield, MI 480342168

Phone: 2486631900

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.