Unknown Individual – Internal Medicine Physician, NPI 1801888979

Unknown Individual is a healthcare provider. based in Canfield, Ohio. specializing in Internal Medicine Physician. They hold a License No. 036662 (OH). The NPI Number for Unknown Individual is 1801888979

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801888979
Phone
(330) 793-8787
Address
4868 S RACCOON RD
Deactivation Date
8 March 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

Provider Addresses for Unknown Individual

  • 4868 S RACCOON RD

    CANFIELD, OH 444069365

    Phone: (330) 793-8787

    Type: Mailing

  • 725 BOARDMAN CANFIELD RD

    BUILDING J-2

    YOUNGSTOWN, OH 445124380

    Phone: (330) 726-0001

    Fax: (330) 726-1828

    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 44406)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1801888979 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Canfield, Ohio as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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