Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1275526030

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 18772 (SC). The NPI Number for Unknown Individual is 1275526030

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275526030
Phone
(843) 664-4300
Address
5700 SOUTHWYCK BLVD
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8437058800
Graduation Year
1995 (31 years ago)
PAC ID
3577652163
Group Practice PAC ID
9537067491
Professional Enrollment ID
I20071204000893
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

  • 5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436141509

    Phone: (843) 664-4300

    Fax: (843) 664-4308

    Type: Mailing

  • Columbia, 14375, Northwest Science Park Drive, Marlene Village, Portland, Metro, Washington County, Oregon, 97229, United States

    SUITE 200

    COLUMBIA, SC 292039653

    Phone: (803) 252-1913

    Fax: (803) 252-2330

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity162144$0
88311Preparation of tissue for examination by removing any calcium present102100$0
88307Pathology examination of tissue using a microscope, moderately high complexity8850$0
88341Special stained specimen slides to examine tissue, each additional procedure6220$0
88304Pathology examination of tissue using a microscope, moderately low complexity5858$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYSC88342Tissue or cell analysis by immunologic technique9567

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: 9537067491View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1275526030.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Toledo, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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