Unknown Individual – Vascular Surgery Physician, NPI 1790761641

Unknown Individual is a healthcare provider. based in Honesdale, Pennsylvania. specializing in Vascular Surgery Physician. They hold a License No. MD021377E (PA). The NPI Number for Unknown Individual is 1790761641

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790761641
Phone
(570) 253-6641
Address
601 PARK ST
Deactivation Date
30 January 2022
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

  • Wayne Memorial Hospital, 601, Park Street, Honesdale, Wayne County, Pennsylvania, 18431, United States

    HONESDALE, PA 184311445

    Phone: (570) 253-6641

    Type: Mailing

  • Maple Avenue, Seelyville, Texas Township, Wayne County, Pennsylvania, 18431, United States

    HONESDALE, PA 184311456

    Phone: (570) 253-6290

    Type: Location

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)

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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 18431)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1790761641 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Vascular Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Honesdale, Pennsylvania because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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