Unknown Individual – Otolaryngology Physician, NPI 1386601912

Unknown Individual is a healthcare provider. based in Cheyenne, Wyoming. specializing in Otolaryngology Physician. They hold a License No. 5082A (WY). The NPI Number for Unknown Individual is 1386601912

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386601912
Phone
(307) 632-9970
Address
126 QUINCY RD
Deactivation Date
28 November 2024

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
9739243866
Professional Enrollment ID
I20090204000039
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

  • 126, Quincy Road, Cheyenne, Laramie County, Wyoming, 82009, United States

    CHEYENNE, WY 820094126

    Phone: (307) 632-9970

    Fax: (307) 632-9972

    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 82009)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1386601912 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Cheyenne, Wyoming for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1386601912. Always confirm identity and privileges with the practice and licensing boards.

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