Unknown Individual – Surgery Physician, NPI 1144209222

Unknown Individual is a healthcare provider. based in Eau claire, Wisconsin. specializing in Surgery Physician. They hold a License No. MD20660 (ME). The NPI Number for Unknown Individual is 1144209222

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144209222
Phone
(715) 838-5222
Address
PO BOX 1510
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203242075
Graduation Year
1980 (46 years ago)
PAC ID
0143111849
Group Practice PAC ID
9638457013
Professional Enrollment ID
I20180115000598
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States

    EAU CLAIRE, WI 547021510

    Phone: (715) 838-5222

    Type: Mailing

  • 1503, Thompson Street, Bloomer, Chippewa County, Wisconsin, 54724, United States

    BLOOMER, WI 547241257

    Phone: (715) 838-5222

    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 54702)

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: 9638457013View full group profile
NameSpecialtyState
Nuclear Medicine, Cardiovascular Disease (Cardiology)AZ
Nurse PractitionerAZ
-AZ
-AZ
Gynecological Oncology, Hematology/OncologyTX
-AZ
Internal MedicineAZ
Rheumatology, Internal MedicineAZ
Nurse PractitionerAZ
Nurse PractitionerAZ

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

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1144209222 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Eau Claire, Wisconsin.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

JOSEPH P SKEMP (MD)

Surgery Physician
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
NPI: 1609858216

CHRISTOPHER M HUIRAS (MD)

Surgery Physician
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
NPI: 1598747115

MICHAEL C ROSKOS (MD)

Surgery Physician
700 West Ave S
NPI: 1851375653

DAVID LEE CIRESI (MD)

Surgery Physician
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
NPI: 1275510323

Unknown Individual

Surgery Physician
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
NPI: 1174500193

BRADLEY KENT GREWE (MD)

Surgery Physician
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
NPI: 1316924327

CHRIS DONNELL HOWER (MD)

Surgery Physician
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
NPI: 1750368767
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
NPI: 1457338469

Unknown Individual

Surgery Physician
1400, Bellinger Street, Cannery District, Eau Claire, Eau Claire County, Wisconsin, 54703, United States
NPI: 1639146962