Unknown Individual – Anesthesiology Physician, NPI 1164515078

Unknown Individual is a healthcare provider. based in Muskogee, Oklahoma. specializing in Anesthesiology Physician. They hold a License No. 9674 (OK). The NPI Number for Unknown Individual is 1164515078

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164515078
Phone
(918) 683-3261
Address
1011 HONOR HEIGHTS DR
Deactivation Date
6 February 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

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Provider Addresses for Unknown Individual

  • Jack C. Montgomery VA Medical Center, 1011, Honor Heights Drive, Muskogee, Muskogee County, Oklahoma, 74401, United States

    MUSKOGEE, OK 744011318

    Phone: (918) 683-3261

    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.

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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 74401)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1164515078 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Muskogee, Oklahoma?
For routing, start with Muskogee, Oklahoma for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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