Unknown Individual – Specialist, NPI 1508977265

Unknown Individual is a healthcare provider. based in Wooster, Ohio. specializing in Specialist. They hold a License No. 35048590 (OH). The NPI Number for Unknown Individual is 1508977265

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508977265
Phone
(330) 345-1330
Address
3431 COMMERCE PKWY STE C
Deactivation Date
20 February 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

Provider Addresses for Unknown Individual

  • 3431 COMMERCE PKWY STE C

    WOOSTER, OH 446917114

    Phone: (330) 345-1330

    Fax: (330) 264-0003

    Type: Location

  • 16561, Timberline Drive, Deerfield Lake, Strongsville, Cuyahoga County, Ohio, 44136, United States

    STRONGSVILLE, OH 441367356

    Phone: (216) 238-5390

    Type: Mailing

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 44691)

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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 1508977265.
What dates should I check for Unknown Individual's activity?
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 Other Service Providers. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Wooster, Ohio; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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