Unknown Individual – Obstetrics & Gynecology Physician, NPI 1851316285

Obstetrics & Gynecology Physician

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD17759 (OR). The NPI Number for Unknown Individual is 1851316285

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1851316285

Phone

(541) 864-8900

Address

3170 STATE ST

Deactivation Date

9 May 2022

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

3170, State Street, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975048450
Phone: (541) 864-8900
Fax: (541) 245-3315
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

Can I use this page to confirm Unknown Individual's NPI?

Yes. Unknown Individual is listed with NPI 1851316285 in the public NPI dataset.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Medford, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."