Unknown Individual – Emergency Medicine Physician, NPI 1396757951

Unknown Individual is a healthcare provider. based in Ada, Oklahoma. specializing in Emergency Medicine Physician. They hold a License No. 2397 (OK). The NPI Number for Unknown Individual is 1396757951

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396757951
Phone
(580) 332-2323
Address
430 N MONTE VISTA ST
Deactivation Date
23 October 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

  • Mercy Hospital Ada, 430, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States

    ADA, OK 748204610

    Phone: (580) 332-2323

    Fax: (580) 421-6167

    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 74820)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1396757951 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Ada, Oklahoma because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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