Unknown Individual – Case Manager/Care Coordinator, NPI 1629449640

Unknown Individual is a healthcare provider. based in Bethesda, Ohio. specializing in Case Manager/Care Coordinator. They hold a License No. I 1500255 (OH). The NPI Number for Unknown Individual is 1629449640

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629449640
Phone
(740) 782-0092
Address
40060 NATIONAL RD
Deactivation Date
25 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3042343500
Graduation Year
1983 (43 years ago)
PAC ID
6901197409
Group Practice PAC ID
4880600048
Professional Enrollment ID
I20180326002472
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 40060 NATIONAL RD

    BETHESDA, OH 437199763

    Phone: (740) 782-0092

    Mailing address matches the actual address.

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 43719)

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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: 4880600048View full group profile
NameSpecialtyState
Clinical PsychologistWV
P S Y C H I A T R YWV
Nurse PractitionerWV
Mental Health CounselorOH
Clinical Social WorkerWV
-PA
Clinical Social WorkerOH
Physician AssistantOH
Clinical PsychologistWV
Nurse PractitionerWV

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1629449640 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 Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Bethesda, Ohio for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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