Unknown Individual – Occupational Medicine Physician, NPI 1235219825

Unknown Individual is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Occupational Medicine Physician. They hold a License No. 11227 (OK). The NPI Number for Unknown Individual is 1235219825

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235219825
Phone
(405) 755-9702
Address
36 W MEMORIAL RD
Deactivation Date
5 December 2024
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

  • WIC - Memorial, 36, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73107, United States

    SUITE C3

    OKLAHOMA CITY, OK 731142312

    Phone: (405) 755-9702

    Fax: (405) 755-9718

    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.

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 73114)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1235219825.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Oklahoma City, Oklahoma?
If you are local to Oklahoma City, Oklahoma, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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