Unknown Individual – Gastroenterology Physician, NPI 1821089210

Unknown Individual is a healthcare provider. based in Midland, Michigan. specializing in Gastroenterology Physician. They hold a License No. WC035158 (MI). The NPI Number for Unknown Individual is 1821089210

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821089210
Phone
(989) 839-0750
Address
4011 ORCHARD DR
Deactivation Date
15 May 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

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Provider Addresses for Unknown Individual

  • 4011, Orchard Drive, Midland, Midland County, Michigan, 48640, United States

    SUITE 3008

    MIDLAND, MI 486406190

    Phone: (989) 839-0750

    Fax: (989) 839-9037

    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.

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 48640)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1821089210.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Gastroenterology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Midland, Michigan?
If you are local to Midland, Michigan, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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