Unknown Individual – Medical Physician Assistant, NPI 1891890687

Unknown Individual is a healthcare provider. based in Troy, Ohio. specializing in Medical Physician Assistant. The NPI Number for Unknown Individual is 1891890687

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891890687
Phone
Not provided
Address
5075 STATE ROUTE 718
Deactivation Date
21 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5075 STATE ROUTE 718

    TROY, OH 453739430

    Phone:

    Type: Mailing

  • 4100, West 3rd Street, Residence Park, Dayton, Montgomery County, Ohio, 45417, United States

    NEUROLOGY (127)

    DAYTON, OH 454289000

    Phone: (937) 268-6511

    Fax: (937) 267-3983

    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 45373)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1891890687.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Troy, Ohio may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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