Unknown Individual – Obstetrics & Gynecology Physician, NPI 1003835786

Unknown Individual is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD049180L (PA). The NPI Number for Unknown Individual is 1003835786

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003835786
Phone
Not provided
Address
615 CHESTNUT ST
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
2159558874
Graduation Year
1966 (60 years ago)
PAC ID
0648178673
Group Practice PAC ID
7911819180
Professional Enrollment ID
I20031229000534
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

  • Continental, 615, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19106-9997, United States

    14TH FLOOR

    PHILADELPHIA, PA 191064404

    Phone:

    Type: Mailing

  • Ben Franklin House, 834, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    SUITE 300

    PHILADELPHIA, PA 191075127

    Phone: (215) 955-5000

    Fax: (215) 923-1089

    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.

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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.

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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 19106)

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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: 7911819180View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1003835786 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
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 Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for Unknown Individual alongside any extra practice locations.
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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