Unknown Individual – Emergency Medical Services (Emergency Medicine) Physician, NPI 1750370490

Unknown Individual is a healthcare provider. based in Fort dodge, Iowa. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold a License No. 18655 (IA). The NPI Number for Unknown Individual is 1750370490

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750370490
Phone
(515) 574-6452
Address
802 KENYON RD
Deactivation Date
5 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital 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

    FORT DODGE, IA 505015740

    Phone: (515) 574-6452

    Fax: (515) 576-6987

    Type: Location

  • 1329, North 22nd Street, Fort Dodge, Wahkonsa Township, Webster County, Iowa, 50501, United States

    FORT DODGE, IA 505012117

    Phone: (515) 576-1860

    Fax: (515) 576-5772

    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.

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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

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1750370490.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Emergency Medical Services (Emergency Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Fort Dodge, Iowa 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.

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