Unknown Individual – Gynecologic Oncology Physician, NPI 1407813025

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Gynecologic Oncology Physician. They hold a License No. 28408 (KY). The NPI Number for Unknown Individual is 1407813025

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407813025
Phone
(502) 629-2500
Address
315 E BROADWAY
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
5022725165
Graduation Year
1980 (46 years ago)
PAC ID
0244428753
Group Practice PAC ID
9830001528
Professional Enrollment ID
I20101228000794

Contacts

Secure Messaging
ddoering20083@direct.nortonhealthcare.org
FHIR Endpoint
https://epicsoap.nortonhealthcare.org/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Norton Healthcare Pavilion, 315, East Broadway, Louisville, Jefferson County, Kentucky, 40202, United States

    LOUISVILLE, KY 402021703

    Phone: (502) 629-2500

    Fax: (502) 629-3166

    Type: Mailing

  • Dutchmans Lane, Bon Air Estates, Louisville, Jefferson County, Kentucky, 40205, United States

    SUITE 405

    LOUISVILLE, KY 402074700

    Phone: (502) 899-3366

    Fax: (502) 899-3455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,041.

Total Amount is formed as General ($1,041) + Research ($0) + Ownership ($0) = $1,041.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Baxter Healthcare ($478).

Total Amount

$1,041

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,041

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3422$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 9830001528View full group profile
NameSpecialtyState
Radiation OncologyKY
Nurse PractitionerKY
Medical OncologyKY
Gynecological OncologyNY
Nurse PractitionerIL
Anesthesiology, Pain Management, Pain ManagementKY
Internal Medicine, Hematology/OncologyOH
Physician AssistantKY
O B S T E T R I C S/ G Y N E C O L O G YKY
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1407813025 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Gynecologic Oncology 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 Louisville, Kentucky; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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