Unknown Individual – Obstetrics & Gynecology Physician, NPI 1952408635

Unknown Individual is a healthcare provider. based in Rockport, Maine. specializing in Obstetrics & Gynecology Physician. They hold a License No. 016244 (ME). The NPI Number for Unknown Individual is 1952408635

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952408635
Phone
(207) 596-8900
Address
3 GLEN COVE DR
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2072362169
Graduation Year
1999 (27 years ago)
PAC ID
9032154224
Group Practice PAC ID
5395046114
Professional Enrollment ID
I20050628000723
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

  • 3, Glen Cove Drive, Rockport, Knox County, Maine, 04856, United States

    ROCKPORT, ME 048564232

    Phone: (207) 596-8900

    Fax: (207) 593-5296

    Type: Location

  • 5, Mountain Street, Camden, Knox County, Maine, 04843, United States

    CAMDEN, ME 048431614

    Phone: (207) 236-2169

    Fax: (207) 230-0413

    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 04856)

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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: 5395046114View full group profile
NameSpecialtyState
Family PracticeME
Family Practice, Osteopathic Manipulative MedicineME

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1952408635 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Rockport, Maine. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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