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Deactivated NPI 1891908356 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon W Charboneau , DC

Chiropractor • Cleveland, OH

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

Registration / Start Date May 08, 2007
NPI Deactivation Date October 11, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Charboneau, DC was a registered Chiropractor practicing in Cleveland, OH. Throughout an active medical career spanning 17 years, Dr. Charboneau provided care at the practice location at 6106 MEMPHIS AVE until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

6106 Memphis Ave

Cleveland, OH 441442283

Telephone 2167417455

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
44 Specialists

Practicing in Cleveland, OH (2830 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OH 303

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated October 11, 2024

Record deactivated on October 11, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Chiropractor (License #303 in OH)

NPI Profile Active May 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 12, 2008

Registered at 6106 MEMPHIS AVE, CLEVELAND, OH 441442283 (Tel: 2167417455)

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Updated Business Mailing Address May 12, 2008

Registered at 6106 MEMPHIS AVE, CLEVELAND, OH 441442283 (Tel: 2167417455)

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Provider Name / Credentials Updated May 12, 2008

Recorded as GORDON CHARBONEAU, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2008

Chiropractor (License #303 in OH)

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Initial NPI Registration & Enumeration May 08, 2007

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: 1891908356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: May 12, 2008
Deactivation Date: October 11, 2024

Mailing Address

6106 Memphis Ave

Cleveland, OH 441442283

Phone: 2167417455

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.