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Deactivated NPI 1265571525 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Scott Radosevich , DC

Chiropractor • Elyria, 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. Michael Radosevich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 05, 2007
NPI Deactivation Date October 21, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Radosevich, DC was a registered Chiropractor practicing in Elyria, OH. Throughout an active medical career spanning 12 years, Dr. Radosevich provided care at the practice location at 304 E BROAD ST until profile deactivation on 2019-10-21.

Practice Location & Contact Primary Location

Practice Address

304 E Broad St

Elyria, OH 440356434

Telephone 4403222720
Fax 4403221378

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Elyria, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Elyria, 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 732

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

7 Historical Events
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NPI Profile Deactivated October 21, 2019

Record deactivated on October 21, 2019

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 304 E BROAD ST, ELYRIA, OH 440356434 (Tel: 4403222720)

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Updated Business Mailing Address July 08, 2007

Registered at 304 E BROAD ST, ELYRIA, OH 440356434 (Tel: 4403222720)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL RADOSEVICH, D.C.

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

Chiropractor (License #732 in OH)

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Initial NPI Registration & Enumeration February 05, 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: 1265571525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2007
Last Update: July 08, 2007
Deactivation Date: October 21, 2019

Mailing Address

304 E Broad St

Elyria, OH 440356434

Phone: 4403222720

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.