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Deactivated NPI 1790910990 Deactivated / Inactive NPI Male Practitioner

Dr. Roy Douglas Ozanne , MD

General Practice • Two Rivers, WI

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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. Roy Ozanne has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 18, 2009
NPI Deactivation Date August 06, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Roy Ozanne, MD was a registered General Practice practicing in Two Rivers, WI. Throughout an active medical career spanning 17 years, Dr. Ozanne provided care at the practice location at 12321 SANDY BAY RD until profile deactivation on 2026-08-06.

Practice Location & Contact Primary Location

Practice Address

12321 Sandy Bay Rd

Two Rivers, WI 542419550

Telephone 9207552448

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Two Rivers, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Two Rivers, WI (130 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 20632-020

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 August 06, 2026

Record deactivated on August 06, 2026

NPI Profile Active May 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2009

Registered at 12321 SANDY BAY RD, TWO RIVERS, WI 542419550 (Tel: 9207552448)

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Updated Business Mailing Address May 18, 2009

Registered at 12321 SANDY BAY RD, TWO RIVERS, WI 542419550 (Tel: 9207552448)

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Provider Name / Credentials Updated May 18, 2009

Recorded as ROY OZANNE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2009

General Practice (License #20632-020 in WI)

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Initial NPI Registration & Enumeration May 18, 2009

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: 1790910990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2009
Last Update: May 18, 2009
Deactivation Date: August 06, 2026

Mailing Address

12321 Sandy Bay Rd

Two Rivers, WI 542419550

Phone: 9207552448

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.