Unknown Individual – Anesthesiology Physician, NPI 1093817488

Unknown Individual is a healthcare provider. based in Scottsbluff, Nebraska. specializing in Anesthesiology Physician. They hold a License No. 15245 (NE). The NPI Number for Unknown Individual is 1093817488

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093817488
Phone
(308) 635-7362
Address
TWO WEST 42ND STREET
Deactivation Date
24 August 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

Provider Addresses for Unknown Individual

  • TWO WEST 42ND STREET

    STE 1500

    SCOTTSBLUFF, NE 693610616

    Phone: (308) 635-7362

    Fax: (308) 635-0426

    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.

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 69361)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1093817488 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
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.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Scottsbluff, Nebraska in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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