Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1023000833

Unknown Individual is a healthcare provider. based in Sidney, Ohio. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 36002141P (OH). The NPI Number for Unknown Individual is 1023000833

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023000833
Phone
(937) 492-1211
Address
1000 MICHIGAN ST
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9377730980
Graduation Year
1983 (43 years ago)
PAC ID
7214901669
Group Practice PAC ID
1456325885
Professional Enrollment ID
I20070718000233
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

  • 1000, Michigan Street, Sidney Walnut Avenue Historic District, Buckeye Terrace, Sidney, Shelby County, Ohio, 45365, United States

    SIDNEY, OH 453652404

    Phone: (937) 492-1211

    Fax: (937) 492-6557

    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.

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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 45365)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOH11042Removal of skin and tissue first 20 sq cm or less17441
PODIATRYOH11056Removal of 2 to 4 thickened skin growths7961
PODIATRYOH73630X-ray of foot, minimum of 3 views621270
PODIATRYOH76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle11252

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 1023000833.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Sidney, Ohio as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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