Unknown Individual – Family Medicine Physician, NPI 1164415436
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
River Valley Boulevard, Lancaster, Fairfield County, Ohio, 43130, United States
LANCASTER, OH 431301653
Phone: (740) 687-2273
Fax: (740) 687-9059
Type: Location
Lancaster New Lexington Road Northeast, Lancaster, Fairfield County, Ohio, 43130, United States
LANCASTER, OH 431308792
Phone: (740) 654-3255
Fax: (740) 687-9059
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43130)
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