Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1316912819

Unknown Individual is a healthcare provider. based in Farmington, Missouri. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 35236 (MO). The NPI Number for Unknown Individual is 1316912819

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316912819
Phone
(573) 756-4581
Address
1212 WEBER RD
Deactivation Date
27 September 2023
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

  • 1212, Weber Road, Farmington, Saint Francois County, Missouri, 63640, United States

    SUITE 205

    FARMINGTON, MO 636403325

    Phone: (573) 756-4581

    Fax: (573) 756-7197

    Type: Location

  • Colony Church Road, Farmington, Saint Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636407479

    Phone: (573) 756-4581

    Fax: (573) 756-7197

    Type: Mailing

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.

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63640)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1316912819?
NPI 1316912819 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is Unknown Individual registered?
Use Farmington, Missouri as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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