Unknown Individual – Family Medicine Physician, NPI 1912921842

Unknown Individual is a healthcare provider. based in Greenfield, Ohio. specializing in Family Medicine Physician. They hold a License No. 34.007708 (OH). The NPI Number for Unknown Individual is 1912921842

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912921842
Phone
(937) 981-9444
Address
536 MIRABEAU ST
Deactivation Date
18 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5132337100
Graduation Year
1999 (27 years ago)
PAC ID
5698672152
Group Practice PAC ID
6507881406
Professional Enrollment ID
I20031215000307
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

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Provider Addresses for Unknown Individual

  • 536, Mirabeau Street, Greenfield, Highland County, Ohio, 45123, United States

    GREENFIELD, OH 451231457

    Phone: (937) 981-9444

    Fax: (937) 981-9448

    Type: Location

  • Adena Regional Medical Center, 272, Hospital Road, Chillicothe, Ross County, Ohio, 45601, United States

    SUITE 3

    CHILLICOTHE, OH 456019031

    Phone: (740) 779-8234

    Fax: (740) 779-7477

    Type: Mailing

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 45123)

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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: 6507881406View full group profile
NameSpecialtyState
Physician AssistantOH
-OH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Internal Medicine, Pediatric MedicineOH
Clinical Social WorkerOH
Nurse PractitionerOH
P O D I A T R YOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1912921842 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Greenfield, Ohio as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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