Unknown Individual – Neurological Surgery Physician, NPI 1588694350

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Neurological Surgery Physician. They hold a License No. 35.039168 (OH). The NPI Number for Unknown Individual is 1588694350

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588694350
Phone
(513) 221-1100
Address
3825 EDWARDS RD
Deactivation Date
6 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5132412123
Graduation Year
1967 (59 years ago)
PAC ID
0648161091
Group Practice PAC ID
9133550627
Professional Enrollment ID
I20100311000177
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

  • BRAVO Cucina Italiana, 3825, Edwards Road, Norwood, Hamilton County, Ohio, 45209, United States

    SUITE 300

    CINCINNATI, OH 452091287

    Phone: (513) 221-1100

    Fax: (513) 569-5297

    Type: Location

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452643398

    Phone: (513) 221-1100

    Fax: (513) 569-5297

    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.

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 45209)

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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: 9133550627View full group profile
NameSpecialtyState
DR. JEFFREY CRAVEN (M.D.)
Emergency Medicine, Internal MedicineOH
GEORGIA ADWOA BAILEY (DNP, APRN, FNP-C)
Nurse PractitionerOH
MICHAEL ALLAN GUREASKO (MD)
-OH

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1588694350 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Cincinnati, Ohio as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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