Unknown Individual – Orthopaedic Surgery Physician, NPI 1750396479

Unknown Individual is a healthcare provider. based in Fairbanks, Alaska. specializing in Orthopaedic Surgery Physician. They hold a License No. 54731 (AZ). The NPI Number for Unknown Individual is 1750396479

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750396479
Phone
(907) 374-6602
Address
PO BOX 70346
Deactivation Date
20 November 2025
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

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Provider Addresses for Unknown Individual

  • PO BOX 70346

    FAIRBANKS, AK 997070346

    Phone: (907) 374-6602

    Fax: (800) 877-5680

    Type: Mailing

  • 708, Cove Parkway, Cottonwood, Yavapai County, Arizona, 86326, United States

    COTTONWOOD, AZ 863265332

    Phone: (907) 374-6602

    Fax: (800) 877-5680

    Type: Location

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 99707)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1750396479 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Fairbanks, Alaska in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.