Unknown Individual – General Practice Physician, NPI 1063408565

Unknown Individual is a healthcare provider. based in Norman, Oklahoma. specializing in General Practice Physician. They hold a License No. 3796 (OK). The NPI Number for Unknown Individual is 1063408565

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063408565
Phone
(405) 761-9107
Address
3212 SCOTTS BLF
Deactivation Date
20 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3212 SCOTTS BLF

    NORMAN, OK 730724873

    Phone: (405) 761-9107

    Type: Mailing

  • 408 N MAIN ST

    NOBLE, OK 730689574

    Phone: (405) 872-3885

    Fax: (405) 872-9758

    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 73072)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1063408565 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Norman?
Public fields place Unknown Individual around Norman, Oklahoma. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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