Unknown Individual – Otolaryngology Physician, NPI 1386608305

Unknown Individual is a healthcare provider. based in Edina, Minnesota. specializing in Otolaryngology Physician. They hold a License No. 22312 (MN). The NPI Number for Unknown Individual is 1386608305

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386608305
Phone
(952) 920-4595
Address
6525 FRANCE AVE S
Deactivation Date
30 October 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

  • Southdale Medical Building, 6525, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 325

    EDINA, MN 554352148

    Phone: (952) 920-4595

    Fax: (952) 920-7958

    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.

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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 55435)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1386608305 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Edina?
Unknown Individual currently maps to Edina, Minnesota in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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