Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1417060500

Unknown Individual is a healthcare provider. based in Cedar rapids, Iowa. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 26801 (IA). The NPI Number for Unknown Individual is 1417060500

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417060500
Phone
(319) 393-2971
Address
3810 CEDAR BLUFF CT NE
Deactivation Date
1 July 2022
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

Loading map...

Provider Addresses for Unknown Individual

  • 3810, Cedar Bluff Court Northeast, Cedar Bluff, Cedar Rapids, Linn County, Iowa, 52411, United States

    CEDAR RAPIDS, IA 524117799

    Phone: (319) 393-2971

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 52411)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1417060500 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Cedar Rapids, Iowa for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. LILEAH F HARRIS (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1346245396
Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1033100847

DR. KIMBERLY FRY (MD)

Anatomic Pathology & Clinical Pathology Physician
PO BOX 957076
NPI: 1083694384

DAVID MARK LARSON (MD)

Anatomic Pathology & Clinical Pathology Physician
Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1770557688

DORRYL L JR. BUCK (MD)

Anatomic Pathology & Clinical Pathology Physician
Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1134195225

VLADIMIR C ADLOFF (MD)

Anatomic Pathology & Clinical Pathology Physician
Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1841266103

KEITH D KREWER (MD)

Anatomic Pathology & Clinical Pathology Physician
Saint Luke's Hospital, 1026, A Avenue Northeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1053387324

DR. EDWARD CALLAGHAN (M.D.)

Anatomic Pathology & Clinical Pathology Physician
625 E BROADWAY AVE
NPI: 1013969211

DR. STANLEY G EILERS (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Weland Clinical Laboratories, 1911, 1st Avenue East, Cedar Rapids, Linn County, Iowa, 52402, United States
NPI: 1740393784