Unknown Individual – Family Medicine Physician, NPI 1447226568

Unknown Individual is a healthcare provider. based in Wilkes barre, Pennsylvania. specializing in Family Medicine Physician. They hold a License No. MD039403L (PA). The NPI Number for Unknown Individual is 1447226568

Main info

Organization
Inactive
45 Years Of Experience
Name
Unknown Individual
NPI
1447226568
Phone
(570) 208-4444
Address
PO BOX AA
Deactivation Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702084444
Graduation Year
1981 (45 years ago)
PAC ID
3678604998
Professional Enrollment ID
I20100701000132
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

  • PO BOX AA

    WILKES BARRE, PA 18703

    Phone: (570) 208-4444

    Fax: (570) 823-4140

    Type: Mailing

  • 500, Scott Street, East End, Wilkes-Barre, Luzerne County, Pennsylvania, 18702, United States

    WILKES BARRE, PA 18702

    Phone: (570) 208-4444

    Fax: (570) 823-4140

    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.

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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 18703)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1447226568.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Wilkes Barre, Pennsylvania in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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