Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1104878172

Unknown Individual is a healthcare provider. based in Canfield, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN146444 (OH). The NPI Number for Unknown Individual is 1104878172

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104878172
Phone
(330) 286-5330
Address
4135 BOARDMAN CANFIELD RD
Deactivation Date
12 April 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

  • 4135, Boardman Canfield Road, Saint Andrews, Starrs Corners, Mahoning County, Ohio, 44406, United States

    SUITE 101

    CANFIELD, OH 444069803

    Phone: (330) 286-5330

    Fax: (330) 286-5396

    Type: Mailing

  • Akron Children's Hospital Mahoning Valley, 6505, Market Street, Colony Square, Boardman, Mahoning County, Ohio, 44512, United States

    BUILDING B

    BOARDMAN, OH 445123457

    Phone: (330) 758-1065

    Fax: (330) 965-0580

    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

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 44406)

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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 1104878172.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Canfield, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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