Unknown Individual – Medical Physician Assistant, NPI 1255585790

Unknown Individual is a healthcare provider. based in Zanesville, Ohio. specializing in Medical Physician Assistant. They hold a License No. 50-002830 (OH). The NPI Number for Unknown Individual is 1255585790

Main info

Organization
Inactive
18 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255585790
Phone
(740) 891-9000
Address
2725 PINKERTON LN
Deactivation Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7408919000
Graduation Year
2008 (18 years ago)
PAC ID
2365506672
Group Practice PAC ID
4789760216
Professional Enrollment ID
I20090202000330
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2725, Pinkerton Lane, Maysville, Muskingum County, Ohio, 43701, United States

    ZANESVILLE, OH 437011513

    Phone: (740) 891-9000

    Fax: (740) 891-9001

    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)

CMS reports 39 Open Payments records for all available years, with a total value of $597.

Total Amount is formed as General ($597) + Research ($0) + Ownership ($0) = $597.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: ABBVIE INC. ($209).

Total Amount

$597

General + Research + Ownership

Payments

39

Total payment records

General Amount

$597

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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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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: 4789760216View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Family PracticeOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1255585790.
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 primary classification?
Medical Physician Assistant is the headline specialty for Unknown Individual here. 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.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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