Unknown Individual – Surgical Physician Assistant, NPI 1235102385

Unknown Individual is a healthcare provider. based in Elyria, Ohio. specializing in Surgical Physician Assistant. They hold a License No. 50.000789 (OH). The NPI Number for Unknown Individual is 1235102385

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235102385
Phone
(440) 329-7500
Address
630 E RIVER ST
Deactivation Date
30 January 2022
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

  • University Hospitals Elyria Medical Center, 630, East River Street, Elyria, Lorain County, Ohio, 44035, United States

    EMH REGIONAL MEDICAL CENTER

    ELYRIA, OH 440355902

    Phone: (440) 329-7500

    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 44035)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1235102385.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Elyria, Ohio may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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