Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1427017243

Unknown Individual is a healthcare provider. based in Panama city, Florida. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. ME36522 (FL). The NPI Number for Unknown Individual is 1427017243

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427017243
Phone
(850) 872-0303
Address
PO BOX 1968
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
1557319597
Professional Enrollment ID
I20050622000063
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 1968

    PANAMA CITY, FL 324021968

    Phone: (850) 872-0303

    Fax: (850) 872-0305

    Type: Mailing

  • 2338, State Avenue, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324054361

    Phone: (850) 872-0303

    Fax: (850) 872-0305

    Type: Location

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.

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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 32402)

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Provider's Procedures

Unknown Individual performs procedures in Pain Medicine (Anesthesiology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYFL64493Injections of lower or sacral spine facet joint using imaging guidance10282

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1427017243 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Pain Medicine (Anesthesiology) Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Panama City, Florida; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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