Unknown Individual – Pulmonary Disease Physician, NPI 1235170952

Unknown Individual is a healthcare provider. based in Nevada, Missouri. specializing in Pulmonary Disease Physician. They hold a License No. R6764 (MO). The NPI Number for Unknown Individual is 1235170952

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235170952
Phone
(417) 627-8377
Address
800 S ASH ST
Deactivation Date
7 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Nevada Regional Medical Center, 800, South Ash Street, Nevada, Vernon County, Missouri, 64772, United States

    SUITE B

    NEVADA, MO 647723224

    Phone: (417) 627-8377

    Fax: (417) 627-8378

    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 64772)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1235170952.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Nevada, Missouri in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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