Unknown Individual – Obstetrics & Gynecology Physician, NPI 1366438533

Unknown Individual is a healthcare provider. based in Lafayette, Indiana. specializing in Obstetrics & Gynecology Physician. They hold a License No. 01027515A (IN). The NPI Number for Unknown Individual is 1366438533

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366438533
Phone
(765) 428-5888
Address
3920 ST FRANCIS WAY
Deactivation Date
5 May 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

  • 3920, Saint Francis Way, Lafayette, Tippecanoe County, Indiana, 47905, United States

    SUITE 100

    LAFAYETTE, IN 479054917

    Phone: (765) 428-5888

    Fax: (765) 428-5897

    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.

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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 47905)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1366438533.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Lafayette, Indiana. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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