Unknown Individual – Emergency Medicine Physician, NPI 1902881493

Unknown Individual is a healthcare provider. based in Bowling green, Kentucky. specializing in Emergency Medicine Physician. They hold a License No. 16828 (KY). The NPI Number for Unknown Individual is 1902881493

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902881493
Phone
(270) 745-1467
Address
PO BOX 1685
Deactivation Date
21 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2707567000
Graduation Year
1972 (54 years ago)
PAC ID
3678526324
Group Practice PAC ID
9133483894
Professional Enrollment ID
I20050223000145
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Bowling Green Post Office, 111, West Washington Street, Downtown, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, KY 421021685

    Phone: (270) 745-1467

    Fax: (270) 745-1417

    Type: Mailing

  • Brookhaven Road, Franklin, Simpson County, Kentucky, 42134, United States

    FRANKLIN, KY 421342746

    Phone: (270) 598-4832

    Fax: (270) 586-0270

    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.

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 42102)

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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: 9133483894View full group profile
NameSpecialtyState
MARY ELEANOR HARKLEROAD (MD)
Family Practice, Emergency MedicineGA
DR. PAUL CLINT BRICKER (MD)
Family Practice, Geriatric MedicineAA
DONNA S SANDLIN (APRN)
Nurse PractitionerKY
DR. MAREK DURAKIEWICZ (MD)
Emergency Medicine, Internal MedicineTN
STEVEN DANIEL MILESKO (DO)
Internal MedicineKY
ANDREW WILLIAM JENKINS (M.D.)
Family Practice, Internal MedicineIN
JAMES EDWARD LEWIS (MD)
-IN
RONALD WEISS (M.D.)
-IN
BETTY SIZEMORE (APRN)
Nurse PractitionerKY
MISHA R. GLENDENING (ARNP)
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1902881493 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Kentucky?
You will see Bowling Green, Kentucky on file for Unknown Individual alongside any extra practice locations.
What if Bowling Green, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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