Unknown Individual – Podiatrist, NPI 1336217140

Unknown Individual is a healthcare provider. based in Cuyahoga falls, Ohio. specializing in Podiatrist. They hold a License No. 36.002557 (OH). The NPI Number for Unknown Individual is 1336217140

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336217140
Phone
(330) 923-9909
Address
355 PORTAGE TRL
Deactivation Date
21 June 2021
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

  • 355, Portage Trail, West Village, Cuyahoga Falls, Summit County, Ohio, 44221, United States

    CUYAHOGA FALLS, OH 442213254

    Phone: (330) 923-9909

    Fax: (330) 923-4906

    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 44221)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOH11056Removal of 2 to 4 thickened skin growths8034

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1336217140 — 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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Cuyahoga Falls?
Unknown Individual currently maps to Cuyahoga Falls, Ohio in this extract.
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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