Unknown Individual – Anesthesiology Physician, NPI 1396854592

Unknown Individual is a healthcare provider. based in Cape girardeau, Missouri. specializing in Anesthesiology Physician. They hold a License No. R9827 (MO). The NPI Number for Unknown Individual is 1396854592

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396854592
Phone
Not provided
Address
721 N SUNSET BLVD
Deactivation Date
20 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 721, North Sunset Boulevard, Sunset Terrace, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637014532

    Phone:

    Type: Mailing

  • Southeast Hospital, 1701, Lacey Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637015230

    Phone: (573) 335-0185

    Fax: (537) 335-0793

    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 63701)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1396854592.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Cape Girardeau, Missouri in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.