Unknown Individual – Physician Assistant, NPI 1093714677

Unknown Individual is a healthcare provider. based in Akron, Ohio. specializing in Physician Assistant. They hold a License No. 50.002942RX (OH). The NPI Number for Unknown Individual is 1093714677

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093714677
Phone
(330) 753-0345
Address
1 PERKINS SQ
Deactivation Date
21 July 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

Provider Addresses for Unknown Individual

  • 1 PERKINS SQ

    AKRON, OH 443081063

    Phone: (330) 753-0345

    Fax: (330) 753-0194

    Type: Mailing

  • 62 CONSERVATORY DR STE A

    BARBERTON, OH 442039002

    Phone: (330) 753-0345

    Fax: (330) 753-0194

    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.

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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 44308)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1093714677.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Akron, Ohio in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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