Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1871549774

Unknown Individual is a healthcare provider. based in Girard, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN623515 (PA). The NPI Number for Unknown Individual is 1871549774

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871549774
Phone
(724) 824-4096
Address
1601 MOTOR INN DR
Deactivation Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4127844396
Graduation Year
1975 (51 years ago)
PAC ID
3375729395
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20110509000527
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1601 MOTOR INN DR

    SUITE 310

    GIRARD, OH 444202420

    Phone: (724) 824-4096

    Fax: (724) 269-9476

    Type: Mailing

  • Wilmington Avenue, Canby Park, Canby Park Estates, Wilmington, New Castle County, Delaware, 19805, United States

    NEW CASTLE, PA 161052516

    Phone: (724) 824-4096

    Fax: (724) 269-9476

    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.

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 44420)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1871549774.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Girard, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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