Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063463503 Deactivated / Inactive NPI Male Practitioner

Dr. James E Medak , DC

Chiropractor • Roseburg, OR

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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. James Medak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2006
NPI Deactivation Date January 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. James Medak, DC was a registered Chiropractor practicing in Roseburg, OR. Throughout an active medical career spanning 16 years, Dr. Medak provided care at the practice location at 2365 W HARVARD AVE until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

2365 W Harvard Ave

Roseburg, OR 974702570

Telephone 5416738270
Fax 5416730283
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Roseburg, OR (1950 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 27 2817

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1265482442

Doctor of Chiropractic

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 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2365 W HARVARD AVE, ROSEBURG, OR 974702570 (Tel: 5416738270)

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Updated Business Mailing Address July 09, 2007

Registered at 2365 W HARVARD AVE, ROSEBURG, OR 974702570 (Tel: 5416738270)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JAMES MEDAK, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #27 2817 in OR)

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Initial NPI Registration & Enumeration May 12, 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: 1063463503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: July 09, 2007
Deactivation Date: January 17, 2022

Mailing Address

2365 W Harvard Ave

Roseburg, OR 974702570

Phone: 5416738270

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.