Unknown Individual – Podiatrist, NPI 1811997109

Unknown Individual is a healthcare provider. based in Perrysburg, Ohio. specializing in Podiatrist. They hold a License No. 2026 (OH). The NPI Number for Unknown Individual is 1811997109

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811997109
Phone
(419) 666-5299
Address
1021 SANDUSKY ST STE A
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
5991760423
Professional Enrollment ID
I20061122000100
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

Provider Addresses for Unknown Individual

  • 1021 SANDUSKY ST STE A

    PERRYSBURG, OH 435513120

    Phone: (419) 666-5299

    Fax: (419) 666-9762

    Type: Mailing

  • 1050 Isaac Streets Dr Ste 122

    Oregon, OH 436163243

    Phone: (419) 693-4171

    Fax: (419) 693-6863

    Type: Location

  • 928 Dixie Hwy

    Rossford, OH 434601333

    Phone: (419) 666-5299

    Fax: (419) 666-9762

    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.

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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 43551)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOH11042Removal of skin and tissue first 20 sq cm or less11514

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1811997109 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
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 Podiatrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Perrysburg, Ohio because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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