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Deactivated NPI 1669438982 Deactivated / Inactive NPI Male Practitioner

Dr. John C Bax , MD, PhD

Specialist • Waupaca, 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. John Bax has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2006
NPI Deactivation Date May 07, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. John Bax, MD, PhD was a registered Specialist practicing in Waupaca, WI. Throughout an active medical career spanning 20 years, Dr. Bax provided care at the practice location at N2227 BUTTERNUT RD until profile deactivation on 2026-05-07.

Practice Location & Contact Primary Location

Practice Address

N2227 Butternut Rd

Waupaca, WI 549819741

Telephone 9205405112

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Waupaca, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Waupaca, WI (312 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WI 28824

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 May 07, 2026

Record deactivated on May 07, 2026

NPI Profile Active September 08, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2010

Registered at N2227 BUTTERNUT RD, WAUPACA, WI 549819741 (Tel: 9205405112)

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Updated Business Mailing Address September 08, 2010

Registered at PO BOX 7726, APPLETON, WI 549127079 (Tel: 9205405112)

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Provider Name / Credentials Updated September 08, 2010

Recorded as JOHN BAX, M.D., PH D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2010

Specialist (License #28824 in WI)

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Initial NPI Registration & Enumeration April 25, 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: 1669438982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: September 08, 2010
Deactivation Date: May 07, 2026

Mailing Address

Po Box 7726

Appleton, WI 549127079

Phone: 9205405112

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.