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Deactivated NPI 1245236124 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth R Hauswald , MD

Surgery • Cary, NC

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

Registration / Start Date June 24, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Hauswald, MD was a registered Surgery practicing in Cary, NC. Throughout an active medical career spanning 1 years, Dr. Hauswald provided care at the practice location at 1505 SW CARY PKWY until profile deactivation on 2006-03-16.

Practice Location & Contact Primary Location

Practice Address

1505 Sw Cary Pkwy
Suite 302

Cary, NC 275116219

Telephone 9193672580
Associated Practice Facility / Clinic
🏢 Avante Physical Therapy Facility NPI 1376522540

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cary, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Cary, NC (1222 Statewide)

Telehealth Adoption Rate
21.4% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 17366

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 16406

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0385104 (OH)
Medicaid State Provider ID
3810002481 (WV)
Medicaid State Provider ID
64164064 (KY)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Andrew Milner , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1083697973

Doctor of Podiatric Medicine

Christina Ankney , CRNA

Nurse Anesthetist, Certified Registered

NPI 1245523398

Certified Registered Nurse Anesthetist

NPI 1316251614

Doctor of Audiology

Olukemi Okunseinde , MPT

Physical Therapist

NPI 1376665547

Master of Physical Therapy

NPI 1407032006

Physical Therapist

Shin-Yiing Yeung

Physical Therapist

NPI 1407248560

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 03, 2009

Registered at 1505 SW CARY PKWY, SUITE 302, CARY, NC 275116219 (Tel: 9193672580)

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Updated Business Mailing Address March 03, 2009

Registered at 1505 SW CARY PKWY, SUITE 302, CARY, NC 275116219 (Tel: 9193672580)

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Provider Name / Credentials Updated March 03, 2009

Recorded as KENNETH HAUSWALD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2009

Surgery (License #17366 in NC)

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NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration June 24, 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: 1245236124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2005
Last Update: March 03, 2009
Deactivation Date: March 16, 2006
Sole Proprietor: No

Mailing Address

1505 Sw Cary Pkwy, Suite 302

Cary, NC 275116219

Phone: 9193672580

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.