Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1356301204

Unknown Individual is a healthcare provider. based in Norman, Oklahoma. specializing in Certified Registered Nurse Anesthetist. They hold a License No. R0050567 (OK). The NPI Number for Unknown Individual is 1356301204

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356301204
Phone
(405) 701-3418
Address
PO BOX 721330
Deactivation Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057218090
Graduation Year
1998 (28 years ago)
PAC ID
4183780737
Group Practice PAC ID
2860304334
Professional Enrollment ID
I20090305000289
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

  • PO BOX 721330

    NORMAN, OK 730708024

    Phone: (405) 701-3418

    Fax: (405) 701-3451

    Type: Mailing

  • Norman Regional Hospital, 901, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States

    NORMAN, OK 730716404

    Phone: (405) 307-1000

    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 73070)

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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: 2860304334View full group profile

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1356301204.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
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 geographic area is tied to Unknown Individual?
Unknown Individual is associated with Norman, Oklahoma in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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