Unknown Individual – Orthopaedic Surgery Physician, NPI 1790789774

Unknown Individual is a healthcare provider. based in Pensacola, Florida. specializing in Orthopaedic Surgery Physician. They hold a License No. ME45748 (FL). The NPI Number for Unknown Individual is 1790789774

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1790789774
Phone
(850) 432-3293
Address
1823 N 9TH AVE
Deactivation Date
27 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8504323293323293
Graduation Year
1974 (52 years ago)
PAC ID
8820056450
Group Practice PAC ID
0749248375
Professional Enrollment ID
I20110908002103
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

Loading map...

Provider Addresses for Unknown Individual

  • North 9th Avenue, East Hill, Pensacola, Escambia County, Florida, 32520, United States

    PENSACOLA, FL 325035270

    Phone: (850) 432-3293

    Fax: (850) 434-7813

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 32503)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule2825
ORTHOPEDIC SURGERYFL64493Injections of lower or sacral spine facet joint using imaging guidance457233

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: 0749248375View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1790789774 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Pensacola, Florida as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

STEVE E JORDAN (MD)

Orthopaedic Surgery Physician
PO BOX 30532
NPI: 1972506723
North Davis Highway, Pensacola, Escambia County, Florida, 32503, United States of America
NPI: 1851394613

Unknown Individual

Sports Medicine (Orthopaedic Surgery) Physician
Fairpoint Drive, Gulf Breeze, Santa Rosa County, Florida, 32561, United States of America
NPI: 1376546028

DR. DAVID RAY CHANDLER (MD)

Orthopaedic Surgery Physician
Gulf Breeze Parkway, Gulf Breeze, Santa Rosa County, Florida, 32561, United States
NPI: 1144224122
40124 HIGHWAY 27 STE 101
NPI: 1932103983

DR. WILLIAM EDGAR JR. SMITH (MD)

Orthopaedic Surgery Physician
North 9th Avenue, East Hill, Pensacola, Escambia County, Florida, 32520, United States
NPI: 1114921921

ROBERT BARRY LURATE (M.D.)

Orthopaedic Surgery Physician
2130 E JOHNSON AVE STE 130
NPI: 1033118799

DR. THOMAS JOSEPH DENNIE (M.D.)

Orthopaedic Surgery Physician
2441, North 9th Avenue, Pensacola, Escambia County, Florida, 32503, United States
NPI: 1831191436

DR. ROBERT PO-CHEN HUANG (M.D.)

Orthopaedic Surgery Physician
710, Hospital Drive, Crestview, Okaloosa County, Florida, 32539, United States
NPI: 1093707309