Unknown Individual – Emergency Medicine Physician, NPI 1083630941

Unknown Individual is a healthcare provider. based in West lafayette, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 35057817 (OH). The NPI Number for Unknown Individual is 1083630941

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083630941
Phone
Not provided
Address
PO BOX 57
Deactivation Date
15 April 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

  • 57, Lafayette Street, Huntington, Suffolk County, New York, 11743, United States

    WEST LAFAYETTE, OH 438450057

    Phone:

    Type: Mailing

  • 646, Chestnut Street, Hardscrabble, Coshocton, Tuscarawas Township, Coshocton County, Ohio, 43812, United States

    COSHOCTON, OH 438121211

    Phone: (740) 622-5990

    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 43845)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1083630941.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with West Lafayette?
Public fields place Unknown Individual around West Lafayette, Ohio. Always confirm the exact site before visiting.
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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