Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1083667018

Unknown Individual is a healthcare provider. based in Youngstown, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN-125766 (OH). The NPI Number for Unknown Individual is 1083667018

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083667018
Phone
(330) 759-9350
Address
3622 BELMONT AVE
Deactivation Date
24 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Relaced 330, 3622, Belmont Avenue, Youngstown, Trumbull County, Ohio, 44505, United States

    SUITE 1

    YOUNGSTOWN, OH 445051450

    Phone: (330) 759-9350

    Fax: (330) 759-9387

    Type: Mailing

  • Northside Medical Center, 500, Gypsy Lane, Union Square, Youngstown, Mahoning County, Ohio, 44501, United States

    YOUNGSTOWN, OH 445041315

    Phone: (330) 884-3679

    Fax: (330) 884-3691

    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.

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44505)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1083667018.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Youngstown, Ohio?
If you are local to Youngstown, Ohio, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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