Unknown Individual – Psychiatry Physician, NPI 1083703292

Unknown Individual is a healthcare provider. based in Medina, Ohio. specializing in Psychiatry Physician. They hold a License No. 35022060K (OH). The NPI Number for Unknown Individual is 1083703292

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083703292
Phone
(330) 725-1414
Address
785 GAYER DR
Deactivation Date
7 June 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

  • 785, Gayer Drive, Medina, Medina County, Ohio, 44256, United States

    MEDINA, OH 442562968

    Phone: (330) 725-1414

    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 44256)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1083703292?
NPI 1083703292 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Medina?
Unknown Individual currently maps to Medina, Ohio in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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