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Deactivated NPI 1407375215 Deactivated / Inactive NPI Male Practitioner

Wayne Reses

Technician/Technologist • Philadelphia, PA

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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, Wayne Reses has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2017
NPI Deactivation Date October 09, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

Wayne Reses was a registered Technician/Technologist practicing in Philadelphia, PA. Throughout an active medical career spanning 8 years, Wayne Reses provided care at the practice location at 4030 LOCUST ST until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

4030 Locust St

Philadelphia, PA 191043507

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist in Philadelphia, PA

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

Practicing in Philadelphia, PA (38 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/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

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 October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2017

Registered at 4030 LOCUST ST, PHILADELPHIA, PA 191043507 (Tel: (215) 463-3000)

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Updated Business Mailing Address September 12, 2017

Registered at 4030 LOCUST ST, PHILADELPHIA, PA 191043507 (Tel: 2154633000)

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Provider Name / Credentials Updated September 12, 2017

Recorded as WAYNE RESES

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Technician/Technologist

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Initial NPI Registration & Enumeration September 12, 2017

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: 1407375215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2017
Last Update: September 12, 2017
Deactivation Date: October 09, 2025

Mailing Address

4030 Locust St

Philadelphia, PA 191043507

Phone: 2154633000

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.