Unknown Individual – Diagnostic Radiology Physician, NPI 1811069412

Unknown Individual is a healthcare provider. based in North platte, Nebraska. specializing in Diagnostic Radiology Physician. They hold a License No. 22758 (NE). The NPI Number for Unknown Individual is 1811069412

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811069412
Phone
(308) 696-7490
Address
601 W LEOTA ST
Deactivation Date
15 December 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

  • Great Plains Health, 601, West Leota Street, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 691016525

    Phone: (308) 696-7490

    Type: Location

  • 1904, 76th Avenue Court, Mountain Vista, Greeley, Weld County, Colorado, 80634, United States

    GREELEY, CO 806348639

    Phone:

    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

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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 69101)

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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 1811069412.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to North Platte, Nebraska?
If you are local to North Platte, Nebraska, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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