Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1023341468

Unknown Individual is a healthcare provider. based in Canfield, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN205964 (OH). The NPI Number for Unknown Individual is 1023341468

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023341468
Phone
(330) 286-5330
Address
4135 BOARDMAN CANFIELD RD
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304803658
Graduation Year
2009 (17 years ago)
PAC ID
6901945146
Group Practice PAC ID
8628974904
Professional Enrollment ID
I20091202000208
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4135, Boardman Canfield Road, Saint Andrews, Starrs Corners, Mahoning County, Ohio, 44406, United States

    SUITE 101

    CANFIELD, OH 444069803

    Phone: (330) 286-5330

    Fax: (330) 286-5396

    Type: Mailing

  • Park & North, 1044, Belmont Avenue, North Side, Youngstown, Mahoning County, Ohio, 44501, United States

    YOUNGSTOWN, OH 445041006

    Phone: (330) 480-3658

    Fax: (330) 480-3439

    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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
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Insurance plans in this area (ZIP 44406)

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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: 8628974904View full group profile
NameSpecialtyState
-OH
Anesthesiology, Interventional Pain ManagementOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1023341468.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Canfield, Ohio in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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