Unknown Individual – Internal Medicine Physician, NPI 1659376697
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 71-1808
COLUMBUS, OH 432710001
Phone: (937) 384-4838
Fax: (937) 384-4845
Type: Mailing
500, Lincoln Park Boulevard, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States
STE 220
KETTERING, OH 454296404
Phone: (937) 298-7414
Fax: (937) 298-4385
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43271)
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