Unknown Individual – Otolaryngology Physician, NPI 1114168234

Otolaryngology Physician

Unknown Individual is a healthcare provider. based in Centerville, Ohio. specializing in Otolaryngology Physician. They hold a License No. 35. 031055 (OH). The NPI Number for Unknown Individual is 1114168234

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1114168234

Phone

(937) 433-0854

Address

2690 SUGAR RIDGE LN

Deactivation Date

21 July 2022

Data current as of

20 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

2690 SUGAR RIDGE LN
CENTERVILLE, OH 454582867
Phone: (937) 433-0854
Fax: (937) 433-0509
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 45458)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1114168234.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Centerville, Ohio in registry-derived data.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.