Unknown Individual – Podiatrist, NPI 1104293133

Unknown Individual is a healthcare provider. based in Willoughby, Ohio. specializing in Podiatrist. The NPI Number for Unknown Individual is 1104293133

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104293133
Phone
(440) 953-3668
Address
35010 CHARDON ROAD
Deactivation Date
2 March 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 35010 CHARDON ROAD

    SUITE 101A

    WILLOUGHBY, OH 440949011

    Phone: (440) 953-3668

    Fax: (440) 953-3556

    Type: Mailing

  • 12000 MCCRACKEN RD

    SUITE 159

    GARFIELD HEIGHTS, OH 441252964

    Phone: (216) 475-1324

    Fax: (216) 475-1336

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 44094)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1104293133.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Willoughby, Ohio for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

Willoughby Post Office, 59, Penshurst Street, Willoughby, Lower North Shore, Sydney, Willoughby City Council, New South Wales, 2068, Australia
NPI: 1447293204
35000, Kaiser Court, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States
NPI: 1457464927
36001, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States
NPI: 1760680292

Lake Podiatry

Podiatrist
36001, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States
NPI: 1073793154
2250 PAR LN APT 603
NPI: 1104266220
PO BOX 1086
NPI: 1396302303
36001 Euclid Ave Ste C3
NPI: 1457996134
14401 SNOW RD STE 102
NPI: 1275159345