Unknown Individual – Physician Assistant, NPI 1598754830

Unknown Individual is a healthcare provider. based in Euclid, Ohio. specializing in Physician Assistant. They hold a License No. 50-000298 (OH). The NPI Number for Unknown Individual is 1598754830

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598754830
Phone
(216) 531-9000
Address
18901 LAKE SHORE BLVD
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402551700
Graduation Year
1979 (47 years ago)
PAC ID
0749261790
Group Practice PAC ID
9638440241
Professional Enrollment ID
I20150825005787
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

  • Lake Shore Boulevard, Euclid, Cuyahoga County, Ohio, 44095, United States

    EUCLID, OH 441191078

    Phone: (216) 531-9000

    Type: Location

  • 441, Richmond Road, Richmond Heights, Cuyahoga County, Ohio, 44143, United States

    RICHMOND HEIGHTS, OH 441431498

    Phone: (216) 692-2727

    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 44119)

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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: 9638440241View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1598754830; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Euclid, Ohio because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1598754830. Always confirm identity and privileges with the practice and licensing boards.

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