Unknown Individual – Anesthesiology Physician, NPI 1073643672

Unknown Individual is a healthcare provider. based in Andover, Massachusetts. specializing in Anesthesiology Physician. They hold a License No. 31299 (MA). The NPI Number for Unknown Individual is 1073643672

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073643672
Phone
(978) 685-5366
Address
8 EVERGREEN LN
Deactivation Date
17 May 2023
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

Provider Addresses for Unknown Individual

  • 8 EVERGREEN LN

    ANDOVER, MA 018104411

    Phone: (978) 685-5366

    Type: Mailing

  • 280 HAVERHILL ST

    LAWRENCE, MA 018401208

    Phone: (978) 685-5366

    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

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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 01810)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1073643672 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Andover, Massachusetts in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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