Unknown Individual – Specialist, NPI 1205870599
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
744, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492011909
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
North Causeway Boulevard, Metairie, Jefferson Parish, Louisiana, 70001, United States
SUITE 404
METAIRIE, LA 700023531
Phone: (504) 779-5515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($39).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $39 |
| Medtronic, Inc. | $19 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 33 | 32 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 29 | 28 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 49201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | LA | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 14 | 14 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| - | LA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| A N E S T H E S I O L O G Y | LA |
Reviews
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