Unknown Individual – Emergency Medicine Physician, NPI 1780624007

Unknown Individual is a healthcare provider. based in Prosser, Washington. specializing in Emergency Medicine Physician. They hold a License No. OP00001020 (WA). The NPI Number for Unknown Individual is 1780624007

Main info

Organization
Inactive
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780624007
Phone
(509) 786-2222
Address
723 MEMORIAL ST
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5097544631
Graduation Year
null (2026 years ago)
PAC ID
0648237669
Group Practice PAC ID
6204003239
Professional Enrollment ID
I20041210000942
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

  • Prosser Memorial Hospital, 723, Memorial Street, Prosser, Benton County, Washington, 99350, United States

    PROSSER, WA 993501524

    Phone: (509) 786-2222

    Fax: (509) 786-6612

    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 99350)

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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: 6204003239View full group profile
NameSpecialtyState
DR. SAMUEL W RICHARD (MD)
-WA
DR. BRETT NICHOLAS TAYLOR (M.D.)
-WA

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1780624007.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Prosser?
Unknown Individual currently maps to Prosser, Washington in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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