Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1770571200

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. MD21518 (OR). The NPI Number for Unknown Individual is 1770571200

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770571200
Phone
(541) 776-2003
Address
221 W STEWART AVE
Deactivation Date
12 February 2026
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

  • West Stewart Avenue, Medford, Jackson County, Oregon, 97501, United States

    SUITE 101

    MEDFORD, OR 975013609

    Phone: (541) 776-2003

    Fax: (541) 776-9833

    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.

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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 97501)

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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 1770571200.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Medford, Oregon. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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