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Deactivated NPI 1962583658 Deactivated / Inactive NPI Female Practitioner

Dr. Jean Ruth Eckerly , MD

Internal Medicine • Edina, MN

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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. Jean Eckerly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2006
NPI Deactivation Date June 22, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jean Eckerly, MD was a registered Internal Medicine practicing in Edina, MN. Throughout an active medical career spanning 15 years, Dr. Eckerly provided care at the practice location at 5808 ZENITH AVE S until profile deactivation on 2021-06-22.

Practice Location & Contact Primary Location

Practice Address

5808 Zenith Ave S

Edina, MN 554102832

Telephone 9529261166
Fax 9529253916

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Edina, MN (2726 Statewide)

Telehealth Adoption Rate
31.9% 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 MN 16792

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 June 22, 2021

Record deactivated on June 22, 2021

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 5808 ZENITH AVE S, EDINA, MN 554102832 (Tel: 9529261166)

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Updated Business Mailing Address July 08, 2007

Registered at 5808 ZENITH AVE S, EDINA, MN 554102832 (Tel: 9529261166)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEAN ECKERLY, MD

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

Internal Medicine (License #16792 in MN)

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Initial NPI Registration & Enumeration October 18, 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: 1962583658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: July 08, 2007
Deactivation Date: June 22, 2021

Mailing Address

5808 Zenith Ave S

Edina, MN 554102832

Phone: 9529261166

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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