Unknown Individual – Family Medicine Physician, NPI 1588644884

Family Medicine Physician

Unknown Individual is a healthcare provider. based in Galion, Ohio. specializing in Family Medicine Physician. They hold a License No. 34004111L (OH). The NPI Number for Unknown Individual is 1588644884

Main info

Organization

Inactive

41 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1588644884

Phone

(419) 468-0511

Address

PO BOX 607

Deactivation Date

19 August 2022

Doctor Profile

Medical School Name

WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE

Secondary Phone

4194684841

Graduation Year

1985 (41 years ago)

PAC ID

6406753532

Group Practice PAC ID

3274437082

Professional Enrollment ID

I20031217000419

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

PO BOX 607
GALION, OH 44833
Phone: (419) 468-0511
Fax: (419) 468-8579
Type: Mailing
270, Portland Way South, Galion, Crawford County, Ohio, 44833, United States
GALION, OH 44833
Phone: (419) 468-5999
Fax: (419) 462-3225
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 44833)

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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: 3274437082View full group profile

Name	Specialty	State
Unknown Individual	-	OH
MRS. JULIE ELIZABETH BURKHART (APRN, NP-C)	Nurse Practitioner	OH
MIRIAM ROGGIO (APRN, CNP)	Nurse Practitioner	OH
JESSICA M HANNAN (NP)	-	OH
WILLIAM J POLINSKI (DO PHD FACC)	Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal Medicine	OH
CYNTHIA A DORSEY (MD)	E N D O C R I N O L O G Y	OH
ERNEST CHARLES GUMPRECHT (MD)	Cardiovascular Disease (Cardiology), Internal Medicine	OH
KATHLEEN L SCHOMER (DO)	Emergency Medicine	OH
MR. JAMES W SPIRES (CRNA)	-	OH
MR. JAMES A II GOUDY (MD)	Internal Medicine	OH