Unknown Individual – Gastroenterology Physician, NPI 1215045182

Unknown Individual is a healthcare provider. based in Punta gorda, Florida. specializing in Gastroenterology Physician. They hold a License No. TL27037 (SC). The NPI Number for Unknown Individual is 1215045182

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215045182
Phone
(941) 655-8281
Address
6210 SCOTT ST UNIT 216
Deactivation Date
2 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9416558281
Graduation Year
2001 (25 years ago)
PAC ID
2567436504
Group Practice PAC ID
2961782693
Professional Enrollment ID
I20100720000969
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6210 SCOTT ST UNIT 216

    PUNTA GORDA, FL 339503901

    Phone: (941) 655-8281

    Fax: (941) 347-8749

    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

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.

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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 33950)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope5349
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope125124

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1215045182.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Gastroenterology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Punta Gorda, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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