Unknown Individual – Internal Medicine Physician, NPI 1245210236

Unknown Individual is a healthcare provider. based in Portsmouth, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35043902 (OH). The NPI Number for Unknown Individual is 1245210236

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245210236
Phone
(740) 356-6942
Address
1735 27TH ST STE B06
Deactivation Date
3 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
7403567337
Graduation Year
1978 (48 years ago)
PAC ID
3476696865
Group Practice PAC ID
9436061645
Professional Enrollment ID
I20100208000288

Contacts

Secure Messaging
suzann.bonzo@somc.medicity.net
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

  • 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States

    PORTSMOUTH, OH 456622681

    Phone: (740) 356-6942

    Fax: (740) 356-7851

    Type: Mailing

  • 1611, 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States

    FULTON BLDG, STE 101

    PORTSMOUTH, OH 456626931

    Phone: (740) 353-4143

    Fax: (740) 353-1714

    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 45662)

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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 MEDICINEOH20610Aspiration and/or injection of large joint or joint capsule3211
INTERNAL MEDICINEOH85610Blood test, clotting time7513
INTERNAL MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report25551672

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: 9436061645View full group profile

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1245210236.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Portsmouth, Ohio?
If you are local to Portsmouth, Ohio, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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