Unknown Individual – Family Medicine Physician, NPI 1932180155

Unknown Individual is a healthcare provider. based in Warren, Ohio. specializing in Family Medicine Physician. They hold a License No. 34-00-2571 (OH). The NPI Number for Unknown Individual is 1932180155

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1932180155
Phone
(330) 856-3577
Address
369 NILES CORTLAND RD SE
Deactivation Date
16 April 2026
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

  • Niles Cortland Road Southeast, Warren, Trumbull County, Ohio, 44484, United States

    WARREN, OH 444842430

    Phone: (330) 856-3577

    Fax: (330) 856-1094

    Type: Location

  • 405, South Linden Avenue, Alliance, Stark County, Ohio, 44601, United States

    SUITE 210 GOOD SAMARITAN COMMUNITY HEALTH CENTER

    ALLIANCE, OH 44601

    Phone: (330) 821-3961

    Fax: (330) 821-0232

    Type: Mailing

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 44484)

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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 1932180155.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Warren, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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