Unknown Individual – Cardiovascular Disease Physician, NPI 1437122868

Unknown Individual is a healthcare provider. based in Wilmington, Ohio. specializing in Cardiovascular Disease Physician. They hold a License No. 223743 (NY). The NPI Number for Unknown Individual is 1437122868

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437122868
Phone
(937) 283-9888
Address
630 W MAIN ST STE 105
Deactivation Date
3 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062266000
Graduation Year
1987 (39 years ago)
PAC ID
9234197435
Group Practice PAC ID
4789708553
Professional Enrollment ID
I20190808001108
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:0State licenses:4Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 630 W MAIN ST STE 105

    WILMINGTON, OH 451772171

    Phone: (937) 283-9888

    Type: Location

  • 955 Yonkers Avenue

    Suite 100

    Yonkers, NY 107043060

    Phone: (914) 237-4720

    Fax: (914) 462-3295

    Type: Location

  • 3623 J Dewey Gray Cir Ste 202

    Augusta, GA 309096554

    Phone: (706) 863-8155

    Fax: (706) 863-8175

    Type: Location

  • Arnot Ogden Medical Center, 600, Roe Avenue, Elmira, Chemung County, New York, 14905, United States

    ELMIRA, NY 149051629

    Phone: (607) 737-4130

    Fax: (607) 737-4530

    Type: Mailing

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.

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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 45177)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYNY81002Urinalysis, manual test1111
INTERVENTIONAL CARDIOLOGYNY94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1111

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: 4789708553View full group profile
NameSpecialtyState
MRS. JESSICA SANDERS (FNP)
Nurse PractitionerGA
BRITTANY L CANNON (APN)
-TN
DR. RODOVALDO JR. RODRIGUEZ (M.D.)
General SurgeryGA
SUSAN MARINA YATES (NP-C)
-GA
JI HYUN LEE (M.D.)
-GA
DR. HUGH M. III COKE (MD)
Cardiovascular Disease (Cardiology)GA
IBHAR AL MHEID (MD)
-GA
DR. LEONARD J III HAYS (MD)
-GA
MOHAMMAD ALI AL AZEM (M.D.)
Pulmonary Disease, Critical Care (Intensivists)GA
STEVEN W PAYNTER (M.D.)
General SurgeryFL

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 1437122868.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Wilmington, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.