Unknown Individual – Surgery Physician, NPI 1346236320

Unknown Individual is a healthcare provider. based in Ely, Nevada. specializing in Surgery Physician. They hold a License No. 2334 (NV). The NPI Number for Unknown Individual is 1346236320

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346236320
Phone
(775) 289-2424
Address
6 STEPTOE CIR
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7752893612
Graduation Year
1961 (65 years ago)
PAC ID
9234163726
Group Practice PAC ID
9335051747
Professional Enrollment ID
I20050923000631
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6, Steptoe Circle, East Ely, Ely, White Pine County, Nevada, 89301, United States

    ELY, NV 893012500

    Phone: (775) 289-2424

    Fax: (775) 289-6423

    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 89301)

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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: 9335051747View full group profile
NameSpecialtyState
Internal MedicineNV
Physician AssistantUT
Emergency MedicineNV
Internal MedicineNV
Emergency MedicineUT
P O D I A T R YMI
-NV
Clinical Social WorkerTX
General SurgeryTN
Nurse PractitionerNV

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1346236320.
What is the next step if Unknown Individual is inactive?
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 Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Ely, Nevada 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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