Unknown Individual – Podiatrist, NPI 1184626426

Unknown Individual is a healthcare provider. based in Plymouth, Pennsylvania. specializing in Podiatrist. They hold a License No. SC002744L (PA). The NPI Number for Unknown Individual is 1184626426

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184626426
Phone
(570) 779-9557
Address
75 WASHINGTON AVE
Deactivation Date
19 January 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5707799557
Graduation Year
1984 (42 years ago)
PAC ID
7416089370
Professional Enrollment ID
I20100713000551
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

Loading map...

Provider Addresses for Unknown Individual

  • Washington Avenue, Plymouth, Luzerne County, Pennsylvania, 18651, United States

    PLYMOUTH, PA 186511744

    Phone: (570) 779-9557

    Fax: (570) 779-9558

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 18651)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1184626426 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Plymouth?
Unknown Individual currently maps to Plymouth, Pennsylvania in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Lansdowne Avenue, North Lansdowne Avenue, Upper Darby, Delaware County, Pennsylvania, 19082, United States
NPI: 1891798898
Maplewood Avenue, Ambridge, Beaver County, Pennsylvania, 15003, United States of America
NPI: 1386647568
PO BOX 825159
NPI: 1548263650
Drexel Hill, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States
NPI: 1104829944
Welsh Road, Huntingdon Valley, Lower Moreland Township, Montgomery County, Pennsylvania, 19006, United States
NPI: 1235132200
Large Street, Frankford, Philadelphia, Philadelphia County, Pennsylvania, 19124, United States
NPI: 1558364877
East Gude Drive, Rockville, Montgomery County, Maryland, 20850, United States
NPI: 1134123029
Eberly Systems LLC, 25, Stevens Avenue, Whitfield, West Lawn, Berks County, Pennsylvania, 19609, United States
NPI: 1487658852
1610, Jackson Street, Girard Estates, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States
NPI: 1801891817