Unknown Individual – Surgery Physician, NPI 1710993449

Unknown Individual is a healthcare provider. based in Monongahela, Pennsylvania. specializing in Surgery Physician. They hold a License No. MD038722L (PA). The NPI Number for Unknown Individual is 1710993449

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710993449
Phone
(724) 483-3639
Address
100 STOOPS DR
Deactivation Date
19 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

Provider Addresses for Unknown Individual

  • 100 STOOPS DR

    SUITE 230

    MONONGAHELA, PA 150633553

    Phone: (724) 483-3639

    Fax: (724) 483-3758

    Type: Location

  • 100 STOOPS DRIVE

    SUITE 230

    MONONGAHELA, PA 150633556

    Phone: (724) 483-3639

    Fax: (724) 483-3758

    Type: Mailing

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.

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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 15063)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1710993449 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Monongahela, Pennsylvania for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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