Unknown Individual – Interventional Cardiology Physician, NPI 1922002849

Interventional Cardiology Physician

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Interventional Cardiology Physician. They hold a License No. 4301064958 (MI). The NPI Number for Unknown Individual is 1922002849

Main info

Organization

Inactive

41 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1922002849

Phone

(419) 842-3000

Address

2940 N MCCORD RD

Deactivation Date

13 December 2021

Doctor Profile

Medical School Name

HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

4192914000

Graduation Year

1985 (41 years ago)

PAC ID

6103739925

Group Practice PAC ID

2961309638

Professional Enrollment ID

I20031231000262

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

Provider Addresses for Unknown Individual

2940 N MCCORD RD
TOLEDO, OH 436151753
Phone: (419) 842-3000
Fax: (419) 842-3042
Mailing address matches the actual address.

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 43615)

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Provider's Procedures

Unknown Individual performs procedures in Interventional Cardiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERVENTIONAL CARDIOLOGY	OH	78452	Nuclear medicine study of vessels of heart using drugs or exercise multiple studies	108	108

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: 2961309638View full group profile

Name	Specialty	State
ALEXIS LAUREN KURDZIEL (APRN CNM)	Certified Nurse Midwife (Cnm)	OH
ANNE T RUCH (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	OH
DR. JESSICA MARTIN LAFYATIS (D.O)	O B S T E T R I C S/ G Y N E C O L O G Y	OH
MRS. SARAH OUTLY (CNM)	Certified Nurse Midwife (Cnm)	OH
DR. MARK G ISSA (DO)	-	OH
DR. OXANA ZARUDSKAYA (MD, PHD)	O B S T E T R I C S/ G Y N E C O L O G Y	OH
VALERIA V ACUNA	Certified Nurse Midwife (Cnm)	OH
MADELEINE CRAIG (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	OH
JACOB STEWART	Physician Assistant	OH
DAGMAR STEIN (MD, PHD)	Pediatric Medicine	OH

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1922002849.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Interventional Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Toledo, Ohio; more addresses can appear in NPPES.

How many locations tie to this NPI?

2 practice locations appear in the available data.