Unknown Individual – General Practice Physician, NPI 1437157500

Unknown Individual is a healthcare provider. based in Crescent, Oklahoma. specializing in General Practice Physician. They hold a License No. 12365 (OK). The NPI Number for Unknown Individual is 1437157500

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1437157500
Phone
(405) 969-2818
Address
400 S GRAND
Deactivation Date
20 December 2020
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

  • 400, South Grand, Mesa, Maricopa County, Arizona, 85210, United States

    CRESCENT, OK 73028

    Phone: (405) 969-2818

    Fax: (405) 969-2821

    Type: Location

  • West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    SUITE 140

    OKLAHOMA CITY, OK 731341785

    Phone: (405) 752-3162

    Fax: (405) 736-5211

    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 73028)

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Provider's Procedures

Unknown Individual performs procedures in General Practice Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK93922Ultrasound study of arteries of both arms and legs193155

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1437157500.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows General Practice Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Crescent, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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