Unknown Individual – Gastroenterology Physician, NPI 1174571814

Unknown Individual is a healthcare provider. based in Findlay, Ohio. specializing in Gastroenterology Physician. They hold a License No. 35.047414 (OH). The NPI Number for Unknown Individual is 1174571814

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174571814
Phone
(419) 424-0380
Address
200 W PEARL ST
Deactivation Date
14 April 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4194240380
Graduation Year
1976 (50 years ago)
PAC ID
7618954843
Group Practice PAC ID
5698763589
Professional Enrollment ID
I20100226000856
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

  • 200, West Pearl Street, Lake Cascades Office Park, Findlay, Hancock County, Ohio, 45840, United States

    FINDLAY, OH 458401332

    Phone: (419) 424-0380

    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 45840)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYOH43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope5552

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: 5698763589View full group profile
NameSpecialtyState
-OH
Interventional Cardiology, Internal MedicineOH
Internal MedicineOH
-OH
-OH
-OH
Physician AssistantOH
Pulmonary Disease, Internal MedicineOH
Interventional Cardiology, Internal MedicineOH
Internal MedicineOH

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1174571814 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Findlay?
Public fields place Unknown Individual around Findlay, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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