Unknown Individual – Emergency Medicine Physician, NPI 1689735045

Unknown Individual is a healthcare provider. based in Mill hall, Pennsylvania. specializing in Emergency Medicine Physician. They hold a License No. MD040116-L (PA). The NPI Number for Unknown Individual is 1689735045

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689735045
Phone
Not provided
Address
368 EQUUS LN
Deactivation Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5709231000
Graduation Year
1984 (42 years ago)
PAC ID
2769478866
Group Practice PAC ID
0143456723
Professional Enrollment ID
I20040423000346
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

Provider Addresses for Unknown Individual

  • 368 EQUUS LN

    MILL HALL, PA 177518625

    Phone:

    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 17751)

Loading plans...

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: 0143456723View full group profile

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

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1689735045; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Mill Hall, Pennsylvania for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

GEORGE CASTELLANO (M.D.)

Emergency Medicine Physician
ERPG EMERGENCY SERVICES
NPI: 1497758288

PHOENIX EMERGENCY MEDICINE OF BROWARD LLC

Emergency Medicine Physician
Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
NPI: 1992708887

JILL R KANE (D.O.)

Emergency Medicine Physician
PO BOX 8500-6335
NPI: 1124021431

AMJAD I MUFTI (M.D.)

Internal Medicine Physician
15 ALPINE COURT
NPI: 1700888914

DR. CARLO AJ OLLER (M.D.)

Emergency Medicine Physician
3165, Duxbury Lane, Southwood, Tallahassee, Leon County, Florida, 32311, United States
NPI: 1801890140

JOHN C. BEYER (M.D.)

Emergency Medicine Physician
Spruce Street, West Reading, Berks County, Pennsylvania, 19611, United States
NPI: 1811991482

KATHRYN A REIHARD (M.D.)

Emergency Medicine Physician
Waynesboro Hospital, 501, East Main Street, Waynesboro, Franklin County, Pennsylvania, 17268, United States
NPI: 1417952821