Unknown Individual – Anesthesiology Physician, NPI 1063401339

Unknown Individual is a healthcare provider. based in Dublin, Ohio. specializing in Anesthesiology Physician. They hold a License No. 35068310 (OH). The NPI Number for Unknown Individual is 1063401339

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1063401339
Phone
(614) 544-6366
Address
5350 FRANTZ RD
Deactivation Date
22 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
6145669184
Graduation Year
1991 (35 years ago)
PAC ID
3678539608
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20041201001148

Contacts

Secure Messaging
vbarney14453@direct.ohiohealth.com
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

  • Frantz Road, Dublin, Franklin, Ohio, 43016, United States

    DUBLIN, OH 430164259

    Phone: (614) 544-6366

    Fax: (614) 544-6350

    Type: Mailing

  • Grant Medical Center, 111, South Grant Avenue, Discovery District, Columbus, Franklin, Ohio, 43215, United States

    3RD FLOOR

    COLUMBUS, OH 432154701

    Phone: (614) 566-8808

    Fax: (614) 566-9503

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43016)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYOH36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1818

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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
Physician AssistantOH
-OH

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1063401339.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Dublin, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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