Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1689617037

Unknown Individual is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. MD009518E (PA). The NPI Number for Unknown Individual is 1689617037

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689617037
Phone
(484) 476-1000
Address
100 E LANCASTER AVE
Deactivation Date
1 February 2023
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

  • Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States

    J.D LANKENAU PAVILION, MEZZANINE

    WYNNEWOOD, PA 190963450

    Phone: (484) 476-1000

    Fax: (484) 476-9000

    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.

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Medicare Enrollment & Revalidation

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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 19096)

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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 1689617037 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Wynnewood, Pennsylvania may find Unknown Individual in results; validate coverage separately.
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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