Unknown Individual – Cardiovascular Disease Physician, NPI 1710041645

Cardiovascular Disease Physician

Unknown Individual is a healthcare provider. based in Mount vernon, Ohio. specializing in Cardiovascular Disease Physician. They hold a License No. 35047433P (OH). The NPI Number for Unknown Individual is 1710041645

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1710041645

Phone

Not provided

Address

1340 NEW GAMBIER RD

Deactivation Date

14 August 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

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Provider Addresses for Unknown Individual

1340, New Gambier Road, Mount Vernon, College Township, Knox County, Ohio, 43050, United States
MOUNT VERNON, OH 430508588
Phone:
Type: Mailing
Mount Vernon Developmental Center, 1250, Vernonview Drive, Mount Vernon, Monroe Township, Knox County, Ohio, 43050, United States
MEDICAL DEPARTMENT
MOUNT VERNON, OH 430501447
Phone: (174) 039-3635
Fax: (174) 074-0393
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.

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 43050)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1710041645 when you need to reference Unknown Individual in forms, claims, or directories.

What is the next step if Unknown Individual is inactive?

Treat inactive as a signal to verify Unknown Individual through official channels.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Mount Vernon, Ohio because that is what the record indicates for Unknown Individual.

Is Unknown Individual a real provider?

This page reflects official NPPES data for NPI 1710041645. Always confirm identity and privileges with the practice and licensing boards.