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Deactivated NPI 1427113950 Deactivated / Inactive NPI Male Practitioner

Gerald Patrick Jenison , CCP LP

Technician, Other • Newcastle, OK

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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, Gerald Jenison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 26, 2006
NPI Deactivation Date November 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Gerald Jenison, CCP LP was a registered Technician, Other practicing in Newcastle, OK. Throughout an active medical career spanning 18 years, Gerald Jenison provided care at the practice location at 2210 S HIGHWAY 76 until profile deactivation on 2024-11-28.

Practice Location & Contact Primary Location

Practice Address

2210 S Highway 76

Newcastle, OK 73065

Telephone 4053923628
Fax 4053922137

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Newcastle, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Newcastle, OK (81 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

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

State License OK LP 28

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Richard Burns , CCP LP

Technician, Other

NPI 1790840262

CCPLP

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 28, 2024

Record deactivated on November 28, 2024

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 2210 S HIGHWAY 76, NEWCASTLE, OK 73065 (Tel: 4053923628)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1378, NEWCASTLE, OK 73065 (Tel: 4053923628)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD JENISON, CCP LP

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

Technician, Other (License #LP 28 in OK)

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Initial NPI Registration & Enumeration December 26, 2006

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: 1427113950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: July 08, 2007
Deactivation Date: November 28, 2024

Mailing Address

Po Box 1378

Newcastle, OK 73065

Phone: 4053923628

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.