Unknown Individual – Emergency Medical Services (Emergency Medicine) Physician, NPI 1629151998

Unknown Individual is a healthcare provider. based in Ware, Massachusetts. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold a License No. 202715 (MA). The NPI Number for Unknown Individual is 1629151998

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629151998
Phone
(413) 967-2275
Address
85 SOUTH ST
Deactivation Date
19 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Baystate Mary Lane Outpatient Center, 85, South Street, Ware, Massachusetts, 01082, United States

    WARE, MA 010821667

    Phone: (413) 967-2275

    Mailing address matches the actual address.

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

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1629151998.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Ware, Massachusetts as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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