Unknown Individual – Internal Medicine Physician, NPI 1083604292

Unknown Individual is a healthcare provider. based in Zanesville, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35064547-D (OH). The NPI Number for Unknown Individual is 1083604292

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083604292
Phone
(740) 454-4530
Address
945 BETHESDA DR
Deactivation Date
15 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
2466523428
Group Practice PAC ID
7719040385
Professional Enrollment ID
I20080618000471
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

  • 945, Bethesda Drive, Zanesville, Muskingum County, Ohio, 43701, United States

    SUITE 300

    ZANESVILLE, OH 437010801

    Phone: (740) 454-4530

    Fax: (740) 454-4647

    Type: Location

  • Zanesville United States Post Office and Federal Building, 65, South 5th Street, Zanesville, Muskingum County, Ohio, 43701, United States

    ZANESVILLE, OH 437021821

    Phone: (740) 455-3342

    Fax: (740) 455-3686

    Type: Mailing

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 43701)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH83036Hemoglobin A1C level6132
INTERNAL MEDICINEOH90670Pneumococcal vaccine for injection into muscle3232

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: 7719040385View full group profile
NameSpecialtyState
DR. JED ALEXANDER BELL (D.O.)
Physical Medicine And RehabilitationOH
KEVIN LUNG-WONG BANKS (M.D.)
U R O L O G YOH
KAREN POSEY (NP-C)
-OH
KATHLEEN ROSE SAVAGE (MD)
Orthopedic SurgeryCA
PHILIP W KOCOLOSKI (DO)
-OH
DR. IAN J ALEXANDER (MD)
-OH
ALLISON NICOLE DALE (NP)
Nurse PractitionerOH
MELISSA DAWN SHAW (APRN, FNP-C)
Nurse PractitionerOH
DR. MITESH HIMATLAL PAREKH (M.D.)
Urology, Obstetrics/GynecologyOH
MR. AARON HOOVER (CNP)
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1083604292 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Zanesville, Ohio may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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