Unknown Individual – Urology Physician, NPI 1669577268

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Urology Physician. They hold a License No. MD10723 (OR). The NPI Number for Unknown Individual is 1669577268

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669577268
Phone
(541) 772-6600
Address
2900 DOCTORS PARK DR
Deactivation Date
5 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Southern Oregon Internal Medicine, 2900, Doctors Park Drive, Medford, Jackson County, Oregon, 97504, United States

    SUITE 100

    MEDFORD, OR 975048198

    Phone: (541) 772-6600

    Fax: (541) 779-1266

    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 97504)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1669577268 uniquely identifies Unknown Individual in U.S. healthcare data.
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 Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Medford, Oregon?
For routing, start with Medford, Oregon for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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