Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1902840283

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. G24531 (CA). The NPI Number for Unknown Individual is 1902840283

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902840283
Phone
(800) 288-8325
Address
5700 SOUTHWYCK BLVD
Deactivation Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107971111
Graduation Year
1971 (55 years ago)
PAC ID
7315019122
Group Practice PAC ID
2769388776
Professional Enrollment ID
I20080710000291
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436141509

    Phone: (800) 288-8325

    Fax: (419) 866-5453

    Type: Mailing

  • Washington Hospital, 2000, Mowry Avenue, Fremont, Alameda County, California, 94538, United States

    FREMONT, CA 945381716

    Phone: (510) 797-1111

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity2121$0
88311Preparation of tissue for examination by removing any calcium present1514$0
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Insurance plans in this area (ZIP 43614)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity9187
PATHOLOGYCA88307Pathology examination of tissue using a microscope, moderately high complexity8861
PATHOLOGYCA88312Special stained specimen slides to identify organisms including interpretation and report7249
PATHOLOGYCA88342Tissue or cell analysis by immunologic technique198175

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: 2769388776View full group profile
NameSpecialtyState
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YCA
P A T H O L O G YOH
P A T H O L O G YOH
Pathology, Nuclear MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1902840283.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Toledo, Ohio for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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