Unknown Individual – Emergency Medicine Physician, NPI 1871539338

Unknown Individual is a healthcare provider. based in Cambridge, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 18705 (WV). The NPI Number for Unknown Individual is 1871539338

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871539338
Phone
(330) 493-4443
Address
1341 Clark St
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
3044558080
Graduation Year
1995 (31 years ago)
PAC ID
3375515695
Group Practice PAC ID
4284065400
Professional Enrollment ID
I20040809000197

Contacts

Secure Messaging
naulick145893@direct.wvuhsdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1341 Clark St

    Cambridge, OH 437259614

    Phone: (330) 493-4443

    Fax: (330) 493-8677

    Type: Location

  • Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States

    CANTON, OH 447182545

    Phone: (330) 493-4443

    Fax: (330) 493-8677

    Type: Mailing

  • Reynolds Memorial Hospital, 800, Wheeling Avenue, Glendale, Glen Dale, Marshall County, West Virginia, 26038, United States

    GLEN DALE, WV 260381660

    Phone: (304) 845-3211

    Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5555$0
99283Emergency department visit with low level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 43725)

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: 4284065400View full group profile
NameSpecialtyState
Physician AssistantWV
-WV
Emergency MedicineWV
Nurse PractitionerOH
Nurse PractitionerWV
General PracticeNY
General Surgery, Vascular SurgerySC
General PracticeNY
Family PracticeWV
Internal Medicine, Cardiovascular Disease (Cardiology)PA

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

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1871539338.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Cambridge, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1922047844
65555 MATHEWS RD
NPI: 1174562672

MATTHEW AHERN (DO)

Emergency Medicine Physician
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1639107543

JASON L STRINGER (DO)

Emergency Medicine Physician
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1851329494

HALINA JANDURA-CESSNA (MD)

Emergency Medicine Physician
1605 Grey Marsh Rd
NPI: 1548290836

Access Care

Family Medicine Physician
59 Thacker Rd
NPI: 1962433177

MARK S SLABINSKI (MD)

Emergency Medicine Physician
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1235241738

ERIC FETE (DO)

Emergency Medicine Physician
5680 Pine Valley Dr
NPI: 1013054980

DR. MARWAN YANES (MD)

Emergency Medicine Physician
76876 8TH STREET RD
NPI: 1174662746