Unknown Individual – Rheumatology Physician, NPI 1134451750

Unknown Individual is a healthcare provider. based in Fairlawn, Ohio. specializing in Rheumatology Physician. They hold a License No. 056221 (OH). The NPI Number for Unknown Individual is 1134451750

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134451750
Phone
(330) 926-3462
Address
2660 W MARKET ST
Deactivation Date
6 May 2022

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3309263231
Graduation Year
1986 (40 years ago)
PAC ID
1355527128
Group Practice PAC ID
0244379717
Professional Enrollment ID
I20110511000451
Data current as of
20 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

  • 2660, West Market Street, Fairlawn, Summit County, Ohio, 44333, United States

    SUITE 101

    FAIRLAWN, OH 443334208

    Phone: (330) 926-3462

    Fax: (330) 255-5082

    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.

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 44333)

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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: 0244379717View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
Physician AssistantOH
Neurology, Sleep MedicineOH
Otolaryngology, Plastic And Reconstructive SurgeryOH
-OH
-OH
Internal MedicineOH
-OH
-OH

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1134451750.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Fairlawn, Ohio?
If you are local to Fairlawn, Ohio, Unknown Individual may be relevant to your search.
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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