Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1013232388

Unknown Individual is a healthcare provider. based in Sylvania, Ohio. specializing in Plastic and Reconstructive Surgery Physician. They hold a License No. 4301082275 (MI). The NPI Number for Unknown Individual is 1013232388

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013232388
Phone
(419) 824-1888
Address
5308 HARROUN RD
Deactivation Date
8 June 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4197836944
Graduation Year
2003 (23 years ago)
PAC ID
8729243241
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20120709000532
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 5308, Harroun Road, Sylvania, Lucas County, Ohio, 43560, United States

    STE 280

    SYLVANIA, OH 435602190

    Phone: (419) 824-1888

    Fax: (419) 214-3074

    Type: Mailing

  • Regency Court, Franklin Park, Toledo, Lucas County, Ohio, 43623, United States of America

    SUITE 204

    TOLEDO, OH 436233090

    Phone: (419) 824-1888

    Fax: (419) 517-0112

    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 43560)

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: 2365348190View full group profile
NameSpecialtyState
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 PractitionerOH
ERIC APPIAH (PA)
-OH
GREGORY HALSTEAD (CRNA)
Certified Registered Nurse Anesthetist (Crna)TX
ALEXA LAYNE HIRSCHFELD (PNP-PC)
-OH
BETH A BESAW (MD)
-OH
ANTHONY J IGNATOVICH (PA)
Physician AssistantOH

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

How do I look up Unknown Individual by NPI?
Use NPI 1013232388 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Sylvania, Ohio on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

NABEEL KHAN (M.D.)

Plastic and Reconstructive Surgery Physician
5308 Harroun Rd Ste 280
NPI: 1265647150

KRISTOFFER BRADLEY SUGG (MD, PHD)

24 FRANK LLOYD WRIGHT DR STE J2000
NPI: 1104029693

PROMEDICA MULTI SPECIALTY PHYSICIANS

Family Medicine Physician
5855 MONROE ST
NPI: 1306105150