Unknown Individual – Emergency Medicine Physician, NPI 1629043575

Unknown Individual is a healthcare provider. based in Macon, Missouri. specializing in Emergency Medicine Physician. They hold a License No. 32740 (MO). The NPI Number for Unknown Individual is 1629043575

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629043575
Phone
(660) 385-8700
Address
1205 N MISSOURI ST
Deactivation Date
19 July 2021
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

  • Samaritan Memorial Hospital, 1205, North Missouri Street, Macon, Macon County, Missouri, 63552, United States

    MACON, MO 635522095

    Phone: (660) 385-8700

    Fax: (660) 385-8701

    Type: Location

  • 4, Woodland Lane, College Park, Kirksville, Adair County, Missouri, 63501, United States

    KIRKSVILLE, MO 635011822

    Phone: (660) 665-9948

    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.

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 63552)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1629043575 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Macon?
Public fields place Unknown Individual around Macon, Missouri. Always confirm the exact site before visiting.
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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