Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1275520330 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Peretz , MD

Specialist • Euclid, 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. Jack Peretz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2005
NPI Deactivation Date November 15, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Peretz, MD was a registered Specialist practicing in Euclid, OH. Throughout an active medical career spanning 17 years, Dr. Peretz provided care at the practice location at 26300 EUCLID AVE until profile deactivation on 2022-11-15.

Practice Location & Contact Primary Location

Practice Address

26300 Euclid Ave
Suite 312

Euclid, OH 441323708

Telephone 2167312626
Fax 2167312627
Associated Practice Facility / Clinic
🏢 Lake West Services, Inc Facility NPI 1962443341

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Euclid, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Euclid, OH (1444 Statewide)

Telehealth Adoption Rate
11.1% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35024872

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1306167135

Doctor of Medicine (M.D.)

NPI 1346237344

Doctor of Medicine (M.D.)

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 November 15, 2022

Record deactivated on November 15, 2022

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 26300 EUCLID AVE, SUITE 312, EUCLID, OH 441323708 (Tel: 2167312626)

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Updated Business Mailing Address July 08, 2007

Registered at 26300 EUCLID AVE, SUITE 312, EUCLID, OH 441323708 (Tel: 2167312626)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK PERETZ, M.D.

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

Specialist (License #35024872 in OH)

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Initial NPI Registration & Enumeration October 04, 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: 1275520330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: July 08, 2007
Deactivation Date: November 15, 2022

Mailing Address

26300 Euclid Ave, Suite 312

Euclid, OH 441323708

Phone: 2167312626

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.