Unknown Individual – Anesthesiology Physician, NPI 1003814385

Anesthesiology Physician

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Anesthesiology Physician. They hold a License No. 35068945 (OH). The NPI Number for Unknown Individual is 1003814385

Main info

Organization

Inactive

35 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1003814385

Phone

(419) 531-8808

Address

2914 S REPUBLIC BLVD

Deactivation Date

12 June 2025

Doctor Profile

Medical School Name

OHIO STATE UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

4192914000

Graduation Year

1991 (35 years ago)

PAC ID

9032376785

Group Practice PAC ID

2365348190

Professional Enrollment ID

I20120207000882

Contacts

Secure Messaging

wjueng16588@epicdirect.promedica.org

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

2914 S REPUBLIC BLVD
TOLEDO, OH 436151912
Phone: (419) 531-8808
Fax: (419) 531-9342
Type: Mailing
ProMedica Toledo Hospital, 2142, North Cove Boulevard, Toledo, Lucas County, Ohio, 43606, United States
TOLEDO, OH 436063895
Phone: (419) 471-4491
Fax: (419) 479-6905
Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00142	Anesthesia for lens surgery	20	18	$0
00145	Anesthesia for retinal surgery	12	12	$0
01810	Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	12	12	$0

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Insurance plans in this area (ZIP 43615)

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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: 2365348190View full group profile

Name	Specialty	State
ERICA DEVRIES (MD)	-	OH
LYNDSAY BRENTLINGER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
Unknown Individual	-	OH
REBECCA M. BURGOON (PA)	-	OH
AMY CRAMER (CNP)	Nurse Practitioner	OH
ERIC APPIAH (PA)	-	OH
ALEXA LAYNE HIRSCHFELD (PNP-PC)	-	OH
BETH A BESAW (MD)	-	OH
ANTHONY J IGNATOVICH (PA)	Physician Assistant	OH
DR. MOHAMMAD GHALI (MD)	-	MI