Unknown Individual – Physician Assistant, NPI 1124229315

Unknown Individual is a healthcare provider. based in Garden city, Michigan. specializing in Physician Assistant. They hold a License No. 5601001983 (MI). The NPI Number for Unknown Individual is 1124229315

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124229315
Phone
(734) 762-0798
Address
32669 Warren Rd Ste 9
Deactivation Date
5 April 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

  • 32669 Warren Rd Ste 9

    Garden City, MI 481351677

    Phone: (734) 762-0798

    Fax: (734) 762-6682

    Type: Location

  • Foust Hall, East Preston Street, Mount Pleasant, Isabella County, Michigan, 48858, United States

    MT PLEASANT, MI 488590001

    Phone: (989) 774-6599

    Fax: (989) 774-4335

    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.

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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 48135)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1124229315 if you need a stable reference for Unknown Individual.
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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Garden City, Michigan for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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