Unknown Individual – Family Medicine Physician, NPI 1447234885

Unknown Individual is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Family Medicine Physician. They hold a License No. 1827 (OK). The NPI Number for Unknown Individual is 1447234885

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447234885
Phone
(918) 251-2666
Address
705 W OAKLAND ST
Deactivation Date
5 October 2022

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9182512666
Graduation Year
1976 (50 years ago)
PAC ID
1658530274
Group Practice PAC ID
1153588355
Professional Enrollment ID
I20120316000465
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

Loading map...

Provider Addresses for Unknown Individual

  • 705, West Oakland Street, Broken Arrow, Tulsa County, Oklahoma, 74012, United States

    BROKEN ARROW, OK 740121656

    Phone: (918) 251-2666

    Fax: (918) 893-4036

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 74012)

Loading plans...

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: 1153588355View full group profile
NameSpecialtyState
Family PracticeOK
Nurse PractitionerOK
-OK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1447234885 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Broken Arrow, Oklahoma 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.

Similar Providers

DR. LEROY O. JESKE (D.O.)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States
NPI: 1205839446

DR. DANIEL K. WOOSTER (DO)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States of America
NPI: 1518960756

DR. BRYAN L. DALTON (D.O.)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States
NPI: 1386647428

DR. TRACY L. ASHER (D.O.)

Family Medicine Physician
6600 S YALE AVE STE 1400
NPI: 1366445405

DR. ATHENA C MASON (D.O.)

Family Medicine Physician
South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States
NPI: 1437152774

Unknown Individual

Family Medicine Physician
North Harvard Avenue, Apache Manor, Tulsa, Tulsa County, Oklahoma, United States
NPI: 1861496275

DR. CHRISTOPHER CARROLL HUNTER (M.D.)

Family Medicine Physician
2617, South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74012, United States
NPI: 1154311959

DR. JAY ALAN GEARY (MD)

Family Medicine Physician
East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States
NPI: 1821071036