Unknown Individual – Physician Assistant, NPI 1730132861

Unknown Individual is a healthcare provider. based in Alpena, Michigan. specializing in Physician Assistant. They hold a License No. 5601001532 (MI). The NPI Number for Unknown Individual is 1730132861

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730132861
Phone
(989) 358-0673
Address
1035 W WASHINGTON AVE
Deactivation Date
1 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897368157
Graduation Year
1984 (42 years ago)
PAC ID
5698741015
Group Practice PAC ID
5991691958
Professional Enrollment ID
I20040908000214

Contacts

Secure Messaging
rick.demarr.p1@direct.alcona.nextgenshare.com
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

Provider Addresses for Unknown Individual

  • 1035 W WASHINGTON AVE

    ALPENA, MI 497072929

    Phone: (989) 358-0673

    Type: Mailing

  • 11745 US Highway 23 S

    Ossineke, MI 497669582

    Phone: (989) 471-2156

    Type: Location

  • 279, Patricktown Road, Sandhill Corner, Jefferson, Lincoln County, Maine, 04348, United States

    LINCOLN, MI 487420279

    Phone: (989) 736-9815

    Type: Mailing

  • North Industrial Highway, Alpena, Alpena County, Michigan, 49707, United States

    ALPENA, MI 497078004

    Phone: (989) 736-9815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 49707)

Loading plans...

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: 5991691958View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1730132861?
NPI 1730132861 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Alpena, Michigan.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

BRENDA S BRAY (PA)

Physician Assistant
PO BOX 655
NPI: 1992748750
Alcona Health Center, 5671, North Skeel Avenue, Oscoda Township, Iosco County, Michigan, 48750, United States
NPI: 1811927072

BERNARD J. O'BRIEN (P.A.C.)

Physician Assistant
1035 W WASHINGTON AVE
NPI: 1871523977
1014, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States
NPI: 1508896614

KAREN M. SAWMILLER (P.A.C.)

Physician Assistant
177 N Barlow Rd
NPI: 1629002175

Alcona Health Centers

Federally Qualified Health Center (FQHC)
South Barlow Road, Gustin, Gustin Township, Alcona County, Michigan, United States
NPI: 1326055450
Traverse City Post Office, 202, South Union Street, Old Towne, Traverse City, Grand Traverse County, Michigan, 49684, United States
NPI: 1194836981

STEVEN C HAMMOND (PA-C)

Physician Assistant
North Industrial Highway, Alpena, Alpena County, Michigan, 49707, United States
NPI: 1235232364

Alpena Regional Medical Center

Registered Dietitian
4000 WELLNESS DR
NPI: 1235202771