Unknown Individual – Family Medicine Physician, NPI 1609862903

Unknown Individual is a healthcare provider. based in Lawton, Oklahoma. specializing in Family Medicine Physician. They hold a License No. 2176 (OK). The NPI Number for Unknown Individual is 1609862903

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609862903
Phone
(580) 357-9984
Address
PO BOX 785
Deactivation Date
26 June 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

  • PO BOX 785

    LAWTON, OK 73502

    Phone: (580) 357-9984

    Fax: (580) 357-3277

    Type: Mailing

  • Medal of Honor Recipient Command Sergeant Major Bennie G. Adkins Highway, Waurika, Jefferson County, Oklahoma, 73573, United States

    WAURIKA, OK 73573

    Phone: (580) 228-3669

    Fax: (580) 228-2529

    Type: Location

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 73502)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1609862903 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Lawton, Oklahoma as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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