Unknown Individual – Obstetrics & Gynecology Physician, NPI 1124073036

Unknown Individual is a healthcare provider. based in Foley, Alabama. specializing in Obstetrics & Gynecology Physician. They hold a License No. 00003350 (AL). The NPI Number for Unknown Individual is 1124073036

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124073036
Phone
(251) 947-1083
Address
1809 N MCKENZIE ST
Deactivation Date
19 August 2021
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

  • McKenzie Street, Foley, Baldwin County, Alabama, 36536, United States

    FOLEY, AL 365352326

    Phone: (251) 947-1083

    Fax: (251) 947-1084

    Type: Location

  • 563, North Mobile Street, Volanta, Fairhope, Baldwin County, Alabama, 36532, United States

    FAIRHOPE, AL 365322609

    Phone:

    Type: Mailing

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 36535)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1124073036 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Obstetrics & Gynecology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Foley, Alabama in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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