Unknown Individual – Surgery Physician, NPI 1114923364

Unknown Individual is a healthcare provider. based in Ware, Massachusetts. specializing in Surgery Physician. They hold a License No. 73549 (MA). The NPI Number for Unknown Individual is 1114923364

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114923364
Phone
(413) 967-2800
Address
83 SOUTH ST
Deactivation Date
28 August 2024
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

  • 83, South Street, Ware, Massachusetts, 01082, United States

    WARE, MA 010821660

    Phone: (413) 967-2800

    Fax: (413) 967-2806

    Type: Location

  • 280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    2ND FLOOR

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    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 01082)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1114923364?
NPI 1114923364 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Ware?
Unknown Individual currently maps to Ware, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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