Unknown Individual – Urology Physician, NPI 1124022504

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Urology Physician. They hold a License No. 35028331 (OH). The NPI Number for Unknown Individual is 1124022504

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124022504
Phone
(419) 531-8558
Address
3500 EXECUTIVE PKWY
Deactivation Date
30 April 2026
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

  • 3500, Executive Parkway, Lincolnshire, Toledo, Lucas County, Ohio, 43606, United States

    TOLEDO, OH 436061319

    Phone: (419) 531-8558

    Fax: (419) 578-5939

    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.

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 43606)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1124022504 if you need a stable reference for Unknown Individual.
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 Urology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Toledo, Ohio because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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