Unknown Individual – Emergency Medicine Physician, NPI 1659320885

Unknown Individual is a healthcare provider. based in Charlestown, Indiana. specializing in Emergency Medicine Physician. They hold a License No. 01041846A (IN). The NPI Number for Unknown Individual is 1659320885

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659320885
Phone
(812) 256-3301
Address
2200 MARKET ST
Deactivation Date
3 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065455539
Graduation Year
1981 (45 years ago)
PAC ID
2163311093
Group Practice PAC ID
5991938557
Professional Enrollment ID
I20040310001483
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

  • Market Street, Town Commons, Charlestown, Cecil County, Maryland, 21914, United States

    SAINT CATHERINE REGIONAL HOSPITAL

    CHARLESTOWN, IN 47111

    Phone: (812) 256-3301

    Fax: (812) 256-7633

    Type: Location

  • Snyder Avenue, Seymour, Jackson County, Indiana, 47274, United States

    SEYMOUR, IN 47274

    Phone: (812) 524-8826

    Fax: (812) 524-8826

    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 47111)

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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: 5991938557View full group profile
NameSpecialtyState
-NY
General SurgeryKY
Emergency Medicine, Internal MedicineKY
Emergency MedicineTN
Emergency MedicineTN
-FL
-KY
Emergency MedicineKY

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1659320885 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Charlestown, Indiana for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1659320885. Always confirm identity and privileges with the practice and licensing boards.

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