Unknown Individual – Obstetrics & Gynecology Physician, NPI 1801958400

Obstetrics & Gynecology Physician

Unknown Individual is a healthcare provider. based in Chester, Pennsylvania. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD050215L (PA). The NPI Number for Unknown Individual is 1801958400

Main info

Organization

Inactive

36 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1801958400

Phone

(610) 872-4900

Address

1 MEDICAL CENTER BLVD

Deactivation Date

1 May 2024

Doctor Profile

Medical School Name

JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY

Secondary Phone

Graduation Year

1990 (36 years ago)

PAC ID

0042406357

Group Practice PAC ID

5698065142

Professional Enrollment ID

I20101129001032

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

The Boulevard, Riverlights, Little Chester, Derby, East Midlands, England, DE1 2BB, United Kingdom
SUITE 333
CHESTER, PA 190133902
Phone: (610) 872-4900
Fax: (610) 872-9221
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 19013)

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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: 5698065142View full group profile

Name	Specialty	State
DR. JANET FONTANELLA (DO)	-	PA
DR. MARK BENNET KAHN (MD)	-	PA
DR. ANITA OTT (DO)	-	PA
MR. MANOUCHER JALALI (MD)	-	PA
MS. MAUREEN J KANE (MSN)	-	PA
DR. JOHN M FANNING (DO)	-	PA
DEQUILLA HURT	-	PA
MAUREEN LUBAS	-	PA
SERGEY ZHITNIKOV (MD)	-	PA
CAROL L TANZIO (CRNP)	-	PA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?

The federal identifier for Unknown Individual is NPI 1801958400.

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.

Can you summarize Unknown Individual's specialty in plain language?

Clinically, the directory lists Unknown Individual with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in Pennsylvania?

You will see Chester, Pennsylvania on file for Unknown Individual alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.