Unknown Individual – Neurological Surgery Physician, NPI 1619968856

Unknown Individual is a healthcare provider. based in Saginaw, Michigan. specializing in Neurological Surgery Physician. They hold a License No. 4301022285 (MI). The NPI Number for Unknown Individual is 1619968856

Main info

Organization
Inactive
70 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619968856
Phone
(855) 298-9888
Address
4677 TOWNE CENTRE RD
Deactivation Date
1 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9896241532
Graduation Year
1956 (70 years ago)
PAC ID
9133148703
Group Practice PAC ID
6305737156
Professional Enrollment ID
I20091111000465

Contacts

Secure Messaging
emalcolmfield@smomsjhs.allscriptsdirect.net
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

  • 4677, Towne Centre Road, Saginaw Charter Township, Saginaw County, Michigan, 48604, United States

    SUITE 301

    SAGINAW, MI 486042846

    Phone: (855) 298-9888

    Fax: (989) 497-3128

    Mailing address matches the actual address.

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 48604)

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Provider's Procedures

Unknown Individual performs procedures in Neurological Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYMI63048Partial removal of spine bone with release of spinal cord and/or nerves2515

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: 6305737156View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMO
Physician AssistantMI
Pulmonary Disease, Critical Care (Intensivists)MI
Cardiac ElectrophysiologyMI
Neurology, NeuropsychiatryMI
-MI
-MI
Rheumatology, Internal MedicineMI
Cardiovascular Disease (Cardiology)MI
P O D I A T R YMI

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1619968856.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Saginaw, Michigan for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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