Unknown Individual – Anesthesiologist Assistant, NPI 1487978284

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Anesthesiologist Assistant. They hold a License No. 2010015656 (MO). The NPI Number for Unknown Individual is 1487978284

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487978284
Phone
(913) 647-4100
Address
PO BOX 804408
Deactivation Date
5 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8167817200
Graduation Year
2010 (16 years ago)
PAC ID
8921132606
Group Practice PAC ID
2365425865
Professional Enrollment ID
I20100817000660
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 804408

    KANSAS CITY, MO 641804408

    Phone: (913) 647-4100

    Fax: (913) 647-4120

    Type: Mailing

  • 2525 GLENN HENDREN DR

    LIBERTY, MO 640689625

    Phone: (816) 781-7200

    Fax: (816) 792-7196

    Type: Location

  • SSM Health Saint Louis University Hospital, 3635, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631102539

    Phone: (314) 577-8750

    Type: Location

  • 5546, Barton Lane, Shawnee, Johnson County, Kansas, 66203, United States

    SHAWNEE, KS 662032246

    Phone: (816) 213-6951

    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 64180)

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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: 2365425865View full group profile
NameSpecialtyState
DAREN C WILSON (MD)
A N E S T H E S I O L O G YMO
ALEXSIS ANN PERDUE (C-AA)
Anesthesiology AssistantMO
POOJA A PATEL (AA)
Anesthesiology AssistantMO
JAMES ERIC DAILEY (CRNA)
Certified Registered Nurse Anesthetist (Crna)FL
DR. CHARLES D. MARKOWITZ (DO)
A N E S T H E S I O L O G YMO
TROY M GREEN (CAA)
Anesthesiology AssistantMO
MRS. JAMIE NAFZINGER (CAA)
Anesthesiology AssistantMO
MELANIE J GUTHRIE (AA)
Anesthesiology AssistantMO
THOMAS PORTER (MD)
-MO
ALBERT JOHN GIAMBRONE (CRNA)
-KS

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1487978284.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Kansas City, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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