Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1821029174

Unknown Individual is a healthcare provider. based in Drumright, Oklahoma. specializing in Certified Registered Nurse Anesthetist. They hold a License No. R0029021 (OK). The NPI Number for Unknown Individual is 1821029174

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821029174
Phone
(918) 352-2052
Address
1216 N OAK GROVE RD
Deactivation Date
18 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187442345
Graduation Year
1974 (52 years ago)
PAC ID
1759314875
Group Practice PAC ID
4789607938
Professional Enrollment ID
I20061216000083
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

  • 1216 N OAK GROVE RD

    DRUMRIGHT, OK 740305686

    Phone: (918) 352-2052

    Type: Mailing

  • Ascension Saint John Medical Center, 1923, South Utica Avenue, Swan Lake, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741046520

    Phone: (918) 744-2362

    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 74030)

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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: 4789607938View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1821029174; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Drumright, Oklahoma for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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