Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1225004153

Unknown Individual is a healthcare provider. based in Youngstown, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN-107929 (OH). The NPI Number for Unknown Individual is 1225004153

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225004153
Phone
(330) 629-2888
Address
1011 BOARDMAN CANFIELD RD
Deactivation Date
8 May 2025
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

  • Youngstown Orthopaedic Associates Building B, 1499, Boardman Canfield Road, Creekside Place, Youngstown, Boardman Township, Mahoning County, Ohio, 44512, United States

    YOUNGSTOWN, OH 445124226

    Phone: (330) 629-2888

    Fax: (330) 629-8940

    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 44512)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1225004153?
NPI 1225004153 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Youngstown, Ohio as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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