Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1063599033

Unknown Individual is a healthcare provider. based in Lorain, Ohio. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 36003106 (OH). The NPI Number for Unknown Individual is 1063599033

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063599033
Phone
(440) 246-1200
Address
4789 LEAVITT RD
Deactivation Date
12 August 2024
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

  • 4789, North Leavitt Road, Lorain, Lorain County, Ohio, 44053, United States

    SUITE B

    LORAIN, OH 440532136

    Phone: (440) 246-1200

    Fax: (440) 246-2275

    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.

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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 44053)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1063599033 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Lorain, Ohio as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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