Unknown Individual – Gynecology Physician, NPI 1073686051

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Gynecology Physician. They hold a License No. 13761 (OK). The NPI Number for Unknown Individual is 1073686051

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073686051
Phone
(918) 583-6868
Address
1145 S UTICA AVE STE 514
Deactivation Date
11 September 2025
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

  • 1145 S UTICA AVE STE 514

    TULSA, OK 741044014

    Phone: (918) 583-6868

    Fax: (918) 583-3857

    Type: Location

  • East Utica Place South, Seven Oaks South, Broken Arrow, Tulsa, Oklahoma, 74011, United States

    #514

    TULSA, OK 74104

    Phone: (918) 583-6868

    Fax: (918) 583-3857

    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.

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 74104)

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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 1073686051.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Tulsa, Oklahoma in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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