Unknown Individual – Psychiatry Physician, NPI 1770797045

Unknown Individual is a healthcare provider. based in Mcalester, Oklahoma. specializing in Psychiatry Physician. They hold a License No. 24994 (OK). The NPI Number for Unknown Individual is 1770797045

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1770797045
Phone
(405) 371-6706
Address
731 S GEORGE NIGH EXPY
Deactivation Date
21 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186893333
Graduation Year
1989 (37 years ago)
PAC ID
5698931079
Group Practice PAC ID
8022061373
Professional Enrollment ID
I20120730000763
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Econo Lodge McAlester, 731, South George Nigh Expressway, McAlester, Pittsburg County, Oklahoma, 74501, United States

    SUITE 3

    MCALESTER, OK 745017278

    Phone: (405) 371-6706

    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 74501)

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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: 8022061373View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Nurse PractitionerOK
-OK
O P T O M E T R YOK
Nurse PractitionerOK
Nurse PractitionerOK
-OK
Clinical Social WorkerOK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1770797045 in the public NPI dataset.
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's specialty?
The listing groups Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Mcalester, Oklahoma may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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