Unknown Individual – Emergency Medicine Physician, NPI 1740350727

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Emergency Medicine Physician. They hold a License No. MD60375474 (WA). The NPI Number for Unknown Individual is 1740350727

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740350727
Phone
(702) 556-0703
Address
PO BOX 5215
Deactivation Date
9 June 2022

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2067822700
Graduation Year
2005 (21 years ago)
PAC ID
4688809189
Group Practice PAC ID
1052209368
Professional Enrollment ID
I20131107001582
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

  • South Tacoma Post Office, South 56th Street, South Tacoma, Tacoma, Pierce County, Washington, 98409, United States

    TACOMA, WA 984150215

    Phone: (702) 556-0703

    Type: Mailing

  • MultiCare Tacoma General Hospital, 315, Martin Luther King Jr Way, Tacoma, Pierce County, Washington, 98403, United States

    TACOMA GENERAL HOSPITAL

    TACOMA, WA 984054234

    Phone: (702) 556-0703

    Type: Location

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 98415)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEWA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report316297

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: 1052209368View full group profile
NameSpecialtyState
Emergency MedicineNY
Physician AssistantMI
Physician AssistantWA
Emergency MedicineWA
-WA
Emergency MedicineWA
Emergency MedicineWA

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 1740350727; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Washington?
You will see Tacoma, Washington on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1740350727. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

209, Martin Luther King Jr Way, Tacoma, Pierce County, Washington, 98405, United States
NPI: 1619977659

DR. CARL SKINNER (MD)

Emergency Medicine Physician
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
NPI: 1558352203
3800, Summitview Avenue, Yakima, Yakima County, Washington, 98902, United States
NPI: 1184605347

DR. JAMES G LENHART (M.D.)

Family Medicine Physician
Pacific Avenue, Tacoma, Pierce County, Washington, 98418-7826, United States
NPI: 1619955424

SIMEON WESLEY ASHWORTH (DO)

Emergency Medicine Physician
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
NPI: 1861462368

ROGER KENNETH MANSON (M.D.)

Emergency Medicine Physician
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
NPI: 1457321960

BENJAMIN PAUL HARRISON (MD)

Emergency Medicine Physician
505, South 336th Street, Federal Way, King County, Washington, 98003, United States
NPI: 1346210895

DR. BRADLEY NELS YOUNGGREN (M.D.)

Emergency Medicine Physician
COMMANDER, MADIGAN ARMY MEDICAL CENTER
NPI: 1235100306

DR. DIANE DEVITA

Emergency Medicine Physician
1802, Fisher Avenue, DuPont, Pierce County, Washington, 98327, United States
NPI: 1528039757