Unknown Individual – Emergency Medicine Physician, NPI 1093756520

Unknown Individual is a healthcare provider. based in Wellsville, Ohio. specializing in Emergency Medicine Physician. They hold a License No. 34003457 (OH). The NPI Number for Unknown Individual is 1093756520

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093756520
Phone
Not provided
Address
43736 CAMERON RD
Deactivation Date
4 January 2023
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

  • 43736 CAMERON RD

    WELLSVILLE, OH 439689734

    Phone:

    Type: Mailing

  • Salem Regional Medical Center, 1995, East State Street, Salem, Columbiana County, Ohio, 44460, United States

    SALEM, OH 444602423

    Phone: (330) 332-1551

    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 43968)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1093756520 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Wellsville, Ohio for Unknown Individual based on available NPPES addresses.
What if Wellsville, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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