Unknown Individual – Internal Medicine Physician, NPI 1609875475

Unknown Individual is a healthcare provider. based in Fremont, Ohio. specializing in Internal Medicine Physician. They hold a License No. 35060478 (OH). The NPI Number for Unknown Individual is 1609875475

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609875475
Phone
(419) 334-4428
Address
418 BIRCHARD AVE
Deactivation Date
13 October 2023
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

  • 418, Birchard Avenue, Downtown Fremont Historic District, Fremont, Sandusky County, Ohio, 43420, United States

    FREMONT, OH 434202967

    Phone: (419) 334-4428

    Fax: (419) 334-4428

    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 43420)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1609875475.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Fremont?
Unknown Individual currently maps to Fremont, Ohio in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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