Unknown Individual – Cardiovascular Disease Physician, NPI 1629071808

Unknown Individual is a healthcare provider. based in Troy, Ohio. specializing in Cardiovascular Disease Physician. They hold a License No. 35.047983 (OH). The NPI Number for Unknown Individual is 1629071808

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629071808
Phone
(937) 335-3518
Address
3006 N COUNTY ROAD 25A
Deactivation Date
16 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9378324773
Graduation Year
1980 (46 years ago)
PAC ID
3870582612
Group Practice PAC ID
5597708594
Professional Enrollment ID
I20040710000125
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

Loading map...

Provider Addresses for Unknown Individual

  • County Road, Troy, Wallowa County, Oregon, United States

    STE 104

    TROY, OH 453731373

    Phone: (937) 335-3518

    Fax: (937) 332-6857

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 45373)

Loading plans...

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: 5597708594View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Physician AssistantOH
-OH
Cardiovascular Disease (Cardiology)OH
-OH
Physician AssistantOH
Thoracic SurgeryPA
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1629071808; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Troy, Ohio for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1629071808. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

CASS M CULLIS (MD)

Cardiovascular Disease Physician
County Road, Troy, Wallowa County, Oregon, United States of America
NPI: 1982607172

JEFFREY B MCCLURE (MD)

Cardiovascular Disease Physician
6100 N HAMILTON RD
NPI: 1497757579

THOMAS E KUPPER (MD)

Interventional Cardiology Physician
County Road, Troy, Wallowa County, Oregon, United States
NPI: 1699771766

DR. SUK WAN LEE (MD)

Cardiovascular Disease Physician
County Road, Troy, Wallowa County, Oregon, United States
NPI: 1467420265

DR. FREDERICK RODRIGO YTURRALDE (M.D.)

Interventional Cardiology Physician
PO BOX 7096
NPI: 1134186372

SUK-WAN LEE MD LLC

Cardiovascular Disease Physician
PO BOX 798
NPI: 1649379967

AARON J KAIBAS (DO)

Cardiovascular Disease Physician
County Road, Troy, Wallowa County, Oregon, United States
NPI: 1396837985

DHIRAJ WARMAN (MD)

Cardiovascular Disease Physician
123 Baptist Way Ste 3A
NPI: 1184787509

The Cardiovascular Institute

Cardiovascular Disease Physician
3130 N DIXIE HWY
NPI: 1619135548