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Deactivated NPI 1104086370 Deactivated / Inactive NPI Male Practitioner

Justin D Hanck

Specialist • Parma, 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, Justin Hanck has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 11, 2008
NPI Deactivation Date January 06, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Justin Hanck was a registered Specialist practicing in Parma, OH. Throughout an active medical career spanning 12 years, Justin Hanck provided care at the practice location at 3103 NORTH AVE until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

3103 North Ave

Parma, OH 441341344

Telephone 4404545133

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Parma, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Parma, OH (1444 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

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 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active June 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2008

Registered at 3103 NORTH AVE, PARMA, OH 441341344 (Tel: 4404545133)

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Updated Business Mailing Address June 11, 2008

Registered at 3103 NORTH AVE, PARMA, OH 441341344 (Tel: 4404545133)

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Provider Name / Credentials Updated June 11, 2008

Recorded as JUSTIN HANCK

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2008

Specialist

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Initial NPI Registration & Enumeration June 11, 2008

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: 1104086370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2008
Last Update: June 11, 2008
Deactivation Date: January 06, 2020

Mailing Address

3103 North Ave

Parma, OH 441341344

Phone: 4404545133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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