Unknown Individual – Anesthesiology Physician, NPI 1285691105
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1123, Jackson Place, Escondido, San Diego County, California, 92026, United States
255 WEST MICHIGAN AVENUE
JACKSON, MI 492041123
Phone: (800) 516-5315
Fax: (517) 787-7365
Type: Mailing
Kemble Avenue, Brunswick, Glynn County, Georgia, 31520, United States
BRUNSWICK, GA 315204211
Phone: (912) 466-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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 49204)
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