Unknown Individual – Family Medicine Physician, NPI 1477515427

Unknown Individual is a healthcare provider. based in Ludington, Michigan. specializing in Family Medicine Physician. They hold a License No. 4301037632 (MI). The NPI Number for Unknown Individual is 1477515427

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477515427
Phone
(231) 843-1553
Address
5511 W US HIGHWAY 10
Deactivation Date
6 August 2021
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

  • 5511 W US HIGHWAY 10

    LUDINGTON, MI 494312455

    Phone: (231) 843-1553

    Fax: (231) 845-7056

    Type: Mailing

  • 1380, East Main Street, Home Township, Montcalm County, Michigan, 48829, United States

    EDMORE, MI 48829

    Phone: (989) 427-3511

    Fax: (989) 427-3294

    Type: Location

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.

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 49431)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1477515427 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Ludington, Michigan for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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