Unknown Individual – Family Medicine Physician, NPI 1477586105

Unknown Individual is a healthcare provider. based in Dalhart, Texas. specializing in Family Medicine Physician. They hold a License No. 42806 (CO). The NPI Number for Unknown Individual is 1477586105

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477586105
Phone
(806) 244-5668
Address
206 E 16TH ST
Deactivation Date
6 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8062498324
Graduation Year
2003 (23 years ago)
PAC ID
2668432675
Group Practice PAC ID
0143112805
Professional Enrollment ID
I20070220000320
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

Loading map...

Provider Addresses for Unknown Individual

  • 206, East 16th Street, Dalhart, Hartley County, Texas, 79022, United States

    DALHART, TX 790224802

    Phone: (806) 244-5668

    Fax: (806) 244-5912

    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 79022)

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: 0143112805View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)NY
Family PracticeTX
Family PracticeTX
-TX
-FL
Certified Nurse Midwife (Cnm)TX
Family PracticeFL
Family Practice, Geriatric MedicineCO

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

How do I look up Unknown Individual by NPI?
Use NPI 1477586105 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Dalhart, Texas 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.

Similar Providers

DR. RANDY HERRING (M.D.)

Family Medicine Physician
204, East 16th Street, Dalhart, Hartley County, Texas, 79022, United States
NPI: 1285647818

JOSE E ESPINEL MD PA

Family Medicine Physician
320, East Texas Boulevard, Dalhart, Hartley County, Texas, 79022, United States
NPI: 1386753150
1914, Apache Drive, Dalhart, Hartley County, Texas, 79022, United States
NPI: 1538262803

DR. MATTHEW TURNER (M.D.)

Family Medicine Physician
206, East 16th Street, Dalhart, Hartley County, Texas, 79022, United States
NPI: 1346333218

DR. DAVID THETFORD (D.O.)

Family Medicine Physician
275 CASINO DR
NPI: 1033202809

Coon Memorial Hospital

Critical Access Hospital
PO BOX 2014
NPI: 1245353747

Vermedahl Family Medicine

Family Medicine Physician
206, East 16th Street, Dalhart, Hartley County, Texas, 79022, United States
NPI: 1386824019

RANDY DWAYNE HERRING MD PA

Family Medicine Physician
204, East 16th Street, Dalhart, Hartley County, Texas, 79022, United States
NPI: 1598935033

MATTHEW TURNER MD PA

Family Medicine Physician
PO BOX 1751
NPI: 1740588011