Unknown Individual – Anesthesiology Physician, NPI 1972563435

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Anesthesiology Physician. They hold a License No. ME0048917 (FL). The NPI Number for Unknown Individual is 1972563435

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972563435
Phone
(727) 825-1486
Address
1200 7TH AVE N
Deactivation Date
16 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7278251100
Graduation Year
1985 (41 years ago)
PAC ID
2567363195
Group Practice PAC ID
3173711017
Professional Enrollment ID
I20051006000085
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

  • St. Anthony's Hospital, 1200, 7th Avenue North, Methodist Town, Saint Petersburg, Pinellas County, Florida, 33713, United States

    SUITE 246

    ST PETERSBURG, FL 337051300

    Phone: (727) 825-1486

    Fax: (727) 825-1002

    Type: Location

  • 354, 4th Avenue North, Tierra Verde, Pinellas County, Florida, 33715, United States

    TIERRA VERDE, FL 337151727

    Phone: (727) 825-1486

    Fax: (727) 825-1002

    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 33705)

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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: 3173711017View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)MI
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-MI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MI
-FL

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1972563435.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface St Petersburg, Florida for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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