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Deactivated NPI 1053478453 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Walter Jaffe , MD

Urology • Shaker Heights, 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 Jaffe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2007
NPI Deactivation Date February 20, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Jaffe, MD was a registered Urology practicing in Shaker Heights, OH. Throughout an active medical career spanning 18 years, Dr. Jaffe provided care at the practice location at 44 LYMAN CIR until profile deactivation on 2025-02-20.

Practice Location & Contact Primary Location

Practice Address

44 Lyman Cir

Shaker Heights, OH 441222116

Telephone 2164644430

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Shaker Heights, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Shaker Heights, OH (564 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35 025358

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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 February 20, 2025

Record deactivated on February 20, 2025

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 44 LYMAN CIR, SHAKER HEIGHTS, OH 441222116 (Tel: 2164644430)

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Updated Business Mailing Address July 08, 2007

Registered at 44 LYMAN CIR, SHAKER HEIGHTS, OH 441222116 (Tel: 2164644430)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK JAFFE, M.D.

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

Urology (License #35 025358 in OH)

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Initial NPI Registration & Enumeration January 03, 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: 1053478453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: July 08, 2007
Deactivation Date: February 20, 2025

Mailing Address

44 Lyman Cir

Shaker Heights, OH 441222116

Phone: 2164644430

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.