Unknown Individual – Obstetrics & Gynecology Physician, NPI 1396841920

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Obstetrics & Gynecology Physician. They hold a License No. 3345 (AK). The NPI Number for Unknown Individual is 1396841920

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396841920
Phone
(907) 222-9930
Address
3976 UNIVERSITY LAKE DR
Deactivation Date
4 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9072229930
Graduation Year
1990 (36 years ago)
PAC ID
4880681675
Group Practice PAC ID
0941296735
Professional Enrollment ID
I20040427001042
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3976, University Lake Drive, Anchorage, Alaska, 99508, United States

    STE 300

    ANCHORAGE, AK 995084644

    Phone: (907) 222-9930

    Fax: (907) 222-9931

    Type: Mailing

  • 4001, Dale Street, Anchorage, Alaska, 99508, United States

    SUITE #105

    ANCHORAGE, AK 995085428

    Phone: (907) 222-9930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($37).

Total Amount

$37

General + Research + Ownership

Payments

1

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941296735View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAK
O B S T E T R I C S/ G Y N E C O L O G YAK
Certified Nurse Midwife (Cnm)AK
-AK
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YAK
O B S T E T R I C S/ G Y N E C O L O G YAK
O B S T E T R I C S/ G Y N E C O L O G YAK
O B S T E T R I C S/ G Y N E C O L O G YAK
O B S T E T R I C S/ G Y N E C O L O G YPR

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1396841920 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Anchorage, Alaska; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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