Unknown Individual – Family Medicine Physician, NPI 1013971852

Unknown Individual is a healthcare provider. based in Marion, Ohio. specializing in Family Medicine Physician. They hold a License No. 35039678H (OH). The NPI Number for Unknown Individual is 1013971852

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013971852
Phone
(740) 361-5868
Address
PO BOX 588
Deactivation Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403615868
Graduation Year
1967 (59 years ago)
PAC ID
7214965664
Professional Enrollment ID
I20140613001872
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • PO BOX 588

    MARION, OH 433010588

    Phone: (740) 361-5868

    Fax: (740) 914-4550

    Type: Mailing

  • 1245, Forest Hill Drive, Marion, Marion Township, Marion County, Ohio, 43302, United States

    MARION, OH 433026529

    Phone: (740) 361-5868

    Fax: (740) 914-4550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 43301)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1013971852.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Marion, Ohio as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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