Unknown Individual – Obstetrics & Gynecology Physician, NPI 1952517732

Unknown Individual is a healthcare provider. based in Altus, Oklahoma. specializing in Obstetrics & Gynecology Physician. They hold a License No. 4707 (OK). The NPI Number for Unknown Individual is 1952517732

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952517732
Phone
(580) 379-6140
Address
101 S PARK LN
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5054549499
Graduation Year
2006 (20 years ago)
PAC ID
2062605710
Group Practice PAC ID
1254226079
Professional Enrollment ID
I20180531001186
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

  • 101, South Park Lane, Altus, Jackson County, Oklahoma, 73521, United States

    ALTUS, OK 735215731

    Phone: (580) 379-6140

    Fax: (580) 379-6149

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: PFIZER INC. ($61).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5729$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 73521)

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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: 1254226079View full group profile
NameSpecialtyState
-VA
-TX
Certified Registered Nurse Anesthetist (Crna)NM
General SurgeryNM
Nurse PractitionerNM
Sleep Medicine, Internal Medicine, Sleep MedicineNV
Cardiovascular Disease (Cardiology)NM
Orthopedic SurgeryNY
-AZ
Orthopedic SurgeryWA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1952517732.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Altus, Oklahoma because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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