Unknown Individual – Audiologist, NPI 1972691574

Unknown Individual is a healthcare provider. based in Canton, Ohio. specializing in Audiologist. They hold a License No. A00806 (OH). The NPI Number for Unknown Individual is 1972691574

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972691574
Phone
(330) 492-2844
Address
4912 HIGBEE AVE NW
Deactivation Date
17 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304922844
Graduation Year
1990 (36 years ago)
PAC ID
0648394734
Group Practice PAC ID
2860426376
Professional Enrollment ID
I20100826000014
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

  • Canton Studen Loan Foundation, Higbee Avenue Northwest, Jackson Township, Stark County, Ohio, 44718, United States

    200

    CANTON, OH 447182530

    Phone: (330) 492-2844

    Fax: (330) 492-0840

    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 44718)

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Provider's Procedures

Unknown Individual performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTOH92567Eardrum testing using ear probe113113

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: 2860426376View full group profile
NameSpecialtyState
Qualified AudiologistOH
Qualified AudiologistOH
-OH
Qualified AudiologistOH
O T O L A R Y N G O L O G YOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
Otolaryngology, Plastic And Reconstructive SurgeryOH
O T O L A R Y N G O L O G YOH
Physician AssistantOH

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1972691574 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Audiologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Canton, Ohio as the reference point for Unknown Individual, then confirm.
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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