Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013202340 Deactivated / Inactive NPI Male Practitioner

Dr. Jon Leo Konzen , MD

General Practice • Holland, 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. Jon Konzen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2011
NPI Deactivation Date July 10, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Konzen, MD was a registered General Practice practicing in Holland, OH. Throughout an active medical career spanning 13 years, Dr. Konzen provided care at the practice location at 26 WALNUT CREEK DR until profile deactivation on 2024-07-10.

Practice Location & Contact Primary Location

Practice Address

26 Walnut Creek Dr

Holland, OH 435289464

Telephone 4198670195

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Holland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Holland, OH (336 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OH 35.026282

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 July 10, 2024

Record deactivated on July 10, 2024

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2011

Registered at 26 WALNUT CREEK DR, HOLLAND, OH 435289464 (Tel: 4198670195)

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Updated Business Mailing Address June 15, 2011

Registered at 26 WALNUT CREEK DR, HOLLAND, OH 435289464 (Tel: 4198670195)

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Provider Name / Credentials Updated June 15, 2011

Recorded as JON KONZEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

General Practice (License #35.026282 in OH)

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Initial NPI Registration & Enumeration June 15, 2011

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: 1013202340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2011
Last Update: June 15, 2011
Deactivation Date: July 10, 2024

Mailing Address

26 Walnut Creek Dr

Holland, OH 435289464

Phone: 4198670195

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.