Unknown Individual – Specialist, NPI 1447200076

Unknown Individual is a healthcare provider. based in Streetsboro, Ohio. specializing in Specialist. They hold a License No. 35-055487 (OH). The NPI Number for Unknown Individual is 1447200076

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447200076
Phone
(330) 422-0916
Address
9318 STATE ROUTE 14
Deactivation Date
10 April 2025

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
1759322191
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20050517000197

Contacts

Secure Messaging
timothygallagher@uhps.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 9318 STATE ROUTE 14

    STREETSBORO, OH 442415224

    Phone: (330) 422-0916

    Type: Location

  • Box, Cleveland County, Oklahoma, United States

    CLEVELAND, OH 441931719

    Phone:

    Type: Mailing

  • 6707, Powers Boulevard, Parma, Cuyahoga County, Ohio, 44129, United States

    SUITE 201

    PARMA, OH 441295455

    Phone: (440) 743-2057

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

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 44241)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH83036Hemoglobin A1C level11989
INTERNAL MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report8076

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: 3072417534View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1447200076 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Other Service Providers. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Streetsboro, Ohio for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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