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Deactivated NPI 1053918250 Deactivated / Inactive NPI Male Practitioner

Jack Rowland Doub

Homemaker • Dayton, 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, Jack Doub has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 01, 2020
NPI Deactivation Date January 25, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Jack Doub was a registered Homemaker practicing in Dayton, OH. Throughout an active medical career spanning 3 years, Jack Doub provided care at the practice location at 3512 HONEYBROOK AVE until profile deactivation on 2023-01-25.

Practice Location & Contact Primary Location

Practice Address

3512 Honeybrook Ave

Dayton, OH 454151545

Telephone 9378980128

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
217 Specialists

Practicing in Dayton, OH (6779 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

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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 January 25, 2023

Record deactivated on January 25, 2023

NPI Profile Active October 01, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 01, 2020

Registered at 3512 HONEYBROOK AVE, DAYTON, OH 454151545 (Tel: 9378980128)

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Updated Business Mailing Address October 01, 2020

Registered at 3512 HONEYBROOK AVE, DAYTON, OH 454151545 (Tel: 9378980128)

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Provider Name / Credentials Updated October 01, 2020

Recorded as JACK DOUB

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Homemaker

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Initial NPI Registration & Enumeration October 01, 2020

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: 1053918250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2020
Last Update: October 01, 2020
Deactivation Date: January 25, 2023

Mailing Address

3512 Honeybrook Ave

Dayton, OH 454151545

Phone: 9378980128

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.