Unknown Individual – Cardiovascular Disease Physician, NPI 1881673176

Unknown Individual is a healthcare provider. based in Elyria, Ohio. specializing in Cardiovascular Disease Physician. They hold a License No. 35035568 (OH). The NPI Number for Unknown Individual is 1881673176

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881673176
Phone
(440) 414-9100
Address
125 E BROAD ST
Deactivation Date
22 December 2020
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

  • 125, East Broad Street, Elyria, Lorain County, Ohio, 44035, United States

    SUITE 305

    ELYRIA, OH 440356400

    Phone: (440) 414-9100

    Fax: (440) 322-3454

    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.

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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 44035)

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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 1881673176.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Elyria?
Public fields place Unknown Individual around Elyria, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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