Unknown Individual – Emergency Medicine Physician, NPI 1386930246

Unknown Individual is a healthcare provider. based in York, Pennsylvania. specializing in Emergency Medicine Physician. They hold a License No. MT200038 (PA). The NPI Number for Unknown Individual is 1386930246

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386930246
Phone
(717) 851-2311
Address
1001 S GEORGE ST
Deactivation Date
17 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3365277000
Graduation Year
2011 (15 years ago)
PAC ID
3870717580
Group Practice PAC ID
3173875127
Professional Enrollment ID
I20170925000107
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1001 S GEORGE ST

    YORK HOSPITAL

    YORK, PA 174033676

    Phone: (717) 851-2311

    Fax: (717) 851-3469

    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 17403)

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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: 3173875127View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeLA
Emergency MedicineAZ
-NC
-NC
Family PracticePA
Hospitalist, Family PracticeNC
-NC
Emergency MedicineSC
Emergency MedicineSC
Emergency MedicineIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1386930246 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Emergency Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect York, Pennsylvania as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Unknown Individual

Emergency Medicine Physician
335, Harvest Drive, Foustown, Manchester Township, York County, Pennsylvania, 17404, United States
NPI: 1578546867