Unknown Individual – Family Medicine Physician, NPI 1770559783

Unknown Individual is a healthcare provider. based in North olmsted, Ohio. specializing in Family Medicine Physician. They hold a License No. 34004827 (OH). The NPI Number for Unknown Individual is 1770559783

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770559783
Phone
(440) 777-6017
Address
PO BOX 789
Deactivation Date
22 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 789

    NORTH OLMSTED, OH 440700789

    Phone: (440) 777-6017

    Fax: (440) 777-6940

    Type: Mailing

  • East Main Street, Columbus, Ohio, 43068-3983, United States

    COLUMBUS, OH 432132425

    Phone: (614) 575-1200

    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 44070)

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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 1770559783.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface North Olmsted, Ohio for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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