Unknown Individual – Anesthesiology Physician, NPI 1063469575

Unknown Individual is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Anesthesiology Physician. They hold a License No. 4301043098 (MI). The NPI Number for Unknown Individual is 1063469575

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063469575
Phone
Not provided
Address
7 W SQUARE LAKE RD
Deactivation Date
21 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

Loading map...

Provider Addresses for Unknown Individual

  • AmeriCenters, 7, West Square Lake Road, Bloomfield Hills, Oakland County, Michigan, 48304, United States

    BLOOMFIELD HILLS, MI 483020462

    Phone:

    Type: Mailing

  • Saint John Macomb-Oakland Hospital, Warren, 11800, East 12 Mile Road, Warren, Macomb County, Michigan, 48093, United States

    WARREN, MI 480933472

    Phone: (586) 573-5260

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 48302)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1063469575 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Bloomfield Hills, Michigan as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. MARWAN LOUIS HADDAD (M.D.)

Anesthesiology Physician
2700, South Rochester Road, Hampton Village Centre, Rochester Hills, Oakland County, Michigan, 48307, United States
NPI: 1033181631

DR. MICHAEL H SIKORSKY (DO)

Pain Medicine (Anesthesiology) Physician
24715 Little Mack Ave
NPI: 1629043955

DR. SANDOR ROBERT TERNER (DO)

Anesthesiology Physician
4113, Golf Ridge Drive East, Wabeek, Bloomfield Hills, Oakland County, Michigan, 48302, United States
NPI: 1164490926

DR. ALIRAZA JAFFER (MD)

Pain Medicine Physician
5070 BROOKDALE RD
NPI: 1699744185

ERIC SCOTT PERRY (D.O.)

Anesthesiology Physician
6441 RED OAK DR
NPI: 1073578902

JANET GRADOLPH (CRNA)

Anesthesiology Physician
1155, Covington Road, Bloomfield Village, Bloomfield Hills, Oakland County, Michigan, 48301, United States
NPI: 1619933272

PATRICIA MASLYK (CRNA)

Certified Registered Nurse Anesthetist
2485 WILDBROOK RUN
NPI: 1306802582

KATHRYN MARTINO-PIERCE (CRNA)

Anesthesiology Physician
3351, Highmeadow Court, Eastover Farms, Bloomfield Hills, Oakland County, Michigan, 48304, United States
NPI: 1225094238