Unknown Individual – Obstetrics & Gynecology Physician, NPI 1851379077

Unknown Individual is a healthcare provider. based in Mesa, Arizona. specializing in Obstetrics & Gynecology Physician. They hold a License No. 17253 (AZ). The NPI Number for Unknown Individual is 1851379077

Main info

Organization
Inactive
45 Years Of Experience
Name
Unknown Individual
NPI
1851379077
Phone
(480) 633-6868
Address
2204 S. DOBSON RD.
Deactivation Date
1 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
0941295430
Professional Enrollment ID
I20050920001072
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

  • 2204, South Dobson Road, Dobson Shores, Mesa, Maricopa County, Arizona, 85202, United States

    SUITE 202

    MESA, AZ 85202

    Phone: (480) 633-6868

    Fax: (480) 633-6996

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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

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Medicare Utilization (FFS)

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

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

Insurance plans in this area (ZIP 85202)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1851379077 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Obstetrics & Gynecology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Mesa, Arizona for Unknown Individual; expand the address list for detail.
What if Mesa, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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