Unknown Individual – Orthopaedic Surgery Physician, NPI 1023094679

Unknown Individual is a healthcare provider. based in Fort dodge, Iowa. specializing in Orthopaedic Surgery Physician. They hold a License No. 17738 (IA). The NPI Number for Unknown Individual is 1023094679

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023094679
Phone
(515) 574-6890
Address
802 KENYON RD
Deactivation Date
25 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Trinity Regional Medical Center, 802, Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States

    RM 513

    FORT DODGE, IA 505015740

    Phone: (515) 574-6890

    Type: Mailing

  • Child Health Specialty Clinic, 804, Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States

    SUITE 320

    FORT DODGE, IA 505015742

    Phone: (515) 574-8333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 50501)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1023094679 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fort Dodge, Iowa for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1023094679. Always confirm identity and privileges with the practice and licensing boards.

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