Unknown Individual – Physician Assistant, NPI 1588707392

Unknown Individual is a healthcare provider. based in Streetsboro, Ohio. specializing in Physician Assistant. They hold a License No. 50001830 (OH). The NPI Number for Unknown Individual is 1588707392

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588707392
Phone
(330) 626-5889
Address
9318 STATE ROUTE 14
Deactivation Date
2 January 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

  • 9318 STATE ROUTE 14

    1ST FLOOR

    STREETSBORO, OH 44241

    Phone: (330) 626-5889

    Fax: (330) 626-5974

    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 44241)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1588707392.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Streetsboro, Ohio because that is what the record indicates for Unknown Individual.
What if Streetsboro, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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