Unknown Individual – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1598758989

Unknown Individual is a healthcare provider. based in Dover, Delaware. specializing in Plastic Surgery within the Head & Neck (Otolaryngology) Physician. They hold a License No. C10002552 (DE). The NPI Number for Unknown Individual is 1598758989

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598758989
Phone
(302) 674-3752
Address
826 S GOVERNORS AVE
Deactivation Date
11 January 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3026743752
Graduation Year
1977 (49 years ago)
PAC ID
7810064086
Group Practice PAC ID
1658364740
Professional Enrollment ID
I20080930000561
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

  • 826, South Governors Avenue, Morris Estates, Dover, Kent County, Delaware, 19904, United States

    DOVER, DE 199044107

    Phone: (302) 674-3752

    Fax: (302) 674-8521

    Type: Location

  • 101 Wellness Way Ste 300

    Milford, DE 199634366

    Phone: (302) 393-5009

    Fax: (302) 424-9211

    Type: Location

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 480-1688

    Fax: (302) 480-9807

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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 19904)

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Provider's Procedures

Unknown Individual performs procedures in Plastic Surgery within the Head & Neck (Otolaryngology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYDE92552Pure tone air conduction threshold hearing assessment5349

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: 1658364740View full group profile
NameSpecialtyState
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YDE
Internal Medicine, Infectious DiseaseDE
-DE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Medical OncologyDE
Physician AssistantDE
Certified Nurse Midwife (Cnm)DE
Internal MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1598758989.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
Where in Delaware is Unknown Individual registered?
Use Dover, Delaware as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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