Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1033190673

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 1486 (MA). The NPI Number for Unknown Individual is 1033190673

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033190673
Phone
(978) 466-3206
Address
630 PLANTATION ST
Deactivation Date
25 December 2025
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

  • Lifetime Center For Family Health, 630, Plantation Street, Worcester, Worcester County, Massachusetts, 01605, United States

    WORCESTER, MA 01605

    Phone: (978) 466-3206

    Fax: (978) 466-3241

    Type: Mailing

  • Lifetime Center For Family Health, 165, Mill Street, Leominster, Worcester County, Massachusetts, 01453, United States

    LEOMINSTER, MA 014533242

    Phone: (978) 466-3206

    Fax: (978) 466-3241

    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.

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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 01605)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1033190673; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Worcester, Massachusetts for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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