Unknown Individual – Anesthesiology Physician, NPI 1942302385

Unknown Individual is a healthcare provider. based in Richardson, Texas. specializing in Anesthesiology Physician. They hold a License No. 5105 (AK). The NPI Number for Unknown Individual is 1942302385

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942302385
Phone
(907) 452-2700
Address
2100 LAKESIDE BLVD
Deactivation Date
8 May 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
9074587263
Graduation Year
1989 (37 years ago)
PAC ID
0648241042
Group Practice PAC ID
9234566340
Professional Enrollment ID
I20040803001107
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

  • 2100, Lakeside Boulevard, Richardson, Dallas County, Texas, 75082, United States

    STE 250

    RICHARDSON, TX 750824351

    Phone: (907) 452-2700

    Fax: (801) 773-5618

    Type: Mailing

  • Fairbanks Memorial Hospital, 1650, Cowles Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997015925

    Phone: (800) 945-9877

    Fax: (801) 733-5618

    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.

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 75082)

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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: 9234566340View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AK
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YAK
Certified Registered Nurse Anesthetist (Crna)GA
-AK
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1942302385.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Richardson, Texas?
For routing, start with Richardson, Texas for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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