Unknown Individual – Family Medicine Physician, NPI 1417942897

Unknown Individual is a healthcare provider. based in Maumee, Ohio. specializing in Family Medicine Physician. They hold a License No. 35-02-9753-P (OH). The NPI Number for Unknown Individual is 1417942897

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417942897
Phone
(419) 893-9713
Address
PO BOX 8718
Deactivation Date
5 December 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

  • East Maumee Avenue, Napoleon, Napoleon Township, Henry County, Ohio, 43545, United States

    MAUMEE, OH 435378718

    Phone: (419) 893-9713

    Fax: (419) 893-0026

    Type: Mailing

  • 235, West Wayne Street, Maumee Uptown Historic District, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435372124

    Phone: (419) 893-9413

    Fax: (419) 893-0026

    Type: Location

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 43537)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1417942897.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Maumee, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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