Unknown Individual – Diagnostic Radiology Physician, NPI 1205835923

Unknown Individual is a healthcare provider. based in Massillon, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 25.000130 (OH). The NPI Number for Unknown Individual is 1205835923

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205835923
Phone
(330) 832-8761
Address
875 EIGHTH STREET NE
Deactivation Date
17 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 875 EIGHTH STREET NE

    MASSILLON, OH 446468503

    Phone: (330) 832-8761

    Fax: (330) 830-6931

    Type: Location

  • 5655, Hudson Drive, Hudson, Summit County, Ohio, 44236, United States

    SUITE 210

    HUDSON, OH 442364451

    Phone: (330) 655-1869

    Fax: (330) 655-3828

    Type: Mailing

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 44646)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast181177
DIAGNOSTIC RADIOLOGYOH93926Ultrasound study of arteries and arterial grafts of one leg or limited1212
DIAGNOSTIC RADIOLOGYOH93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers122120

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 is Unknown Individual's NPI number?
Unknown Individual's NPI is 1205835923 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Massillon?
Unknown Individual currently maps to Massillon, Ohio in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

1 Capital Way
NPI: 1043298417

RADIOLOGY ASSOCIATES OF CANTON, INC

Diagnostic Radiology Physician
875, 8th Street Northeast, Fourth Street Historic District, Massillon, Stark County, Ohio, 44646, United States
NPI: 1467533299

RADIOLOGY ASSOCIATES OF CANTON, INC

Diagnostic Radiology Physician
PO BOX 26125
NPI: 1518048362

MR. JOHN CLARKE (MD)

Diagnostic Radiology Physician
2345, West Harrison Street, Tri-Taylor, Near West Side, Chicago, West Chicago Township, Cook County, Illinois, 60612, United States
NPI: 1689888422