Unknown Individual – Anesthesiology Physician, NPI 1699783423

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Anesthesiology Physician. They hold a License No. 3227 (OK). The NPI Number for Unknown Individual is 1699783423

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699783423
Phone
(918) 587-2561
Address
744 W 9TH ST
Deactivation Date
28 June 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185991000
Graduation Year
1993 (33 years ago)
PAC ID
1557316544
Group Practice PAC ID
0547448524
Professional Enrollment ID
I20050311000941
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

  • Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States

    TULSA, OK 741279020

    Phone: (918) 587-2561

    Type: Location

  • 2530, East 22nd Street South, Bryn Mawr, Tulsa, Oklahoma, 74114, United States

    TULSA, OK 741143121

    Phone: (918) 743-7005

    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 74127)

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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: 0547448524View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOK
Anesthesiology AssistantOH
Anesthesiology AssistantOK
Anesthesiology AssistantCO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1699783423 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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