Unknown Individual – Obstetrics & Gynecology Physician, NPI 1568437101

Unknown Individual is a healthcare provider. based in Johnson, Arkansas. specializing in Obstetrics & Gynecology Physician. They hold a License No. E2514 (AR). The NPI Number for Unknown Individual is 1568437101

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568437101
Phone
(479) 521-4433
Address
PO BOX 523
Deactivation Date
10 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4795214433
Graduation Year
1996 (30 years ago)
PAC ID
6204020167
Group Practice PAC ID
7416841622
Professional Enrollment ID
I20101104000591
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

  • PO BOX 523

    JOHNSON, AR 727410523

    Phone: (479) 521-4433

    Fax: (479) 521-0444

    Type: Mailing

  • Willow Creek Women's Hospital, 4301, Greathouse Springs Road, Johnson, Washington County, Arkansas, 72741, United States

    SUITE 100

    JOHNSON, AR 727410523

    Phone: (479) 521-4433

    Fax: (479) 521-0444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $4,111.

Total Amount is formed as General ($4,111) + Research ($0) + Ownership ($0) = $4,111.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Applied Medical Resources Corporation ($4,000).

Total Amount

$4,111

General + Research + Ownership

Payments

5

Total payment records

General Amount

$4,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3030$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2929$0
View full utilization report →

Insurance plans in this area (ZIP 72741)

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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: 7416841622View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAR
-AR
O B S T E T R I C S/ G Y N E C O L O G YAR
O B S T E T R I C S/ G Y N E C O L O G YAR
-AR
O B S T E T R I C S/ G Y N E C O L O G YAR
O B S T E T R I C S/ G Y N E C O L O G YAR
-AR
O B S T E T R I C S/ G Y N E C O L O G YAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1568437101.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Johnson, Arkansas in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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