Unknown Individual – Anesthesiology Physician, NPI 1407807902

Unknown Individual is a healthcare provider. based in Providence, Rhode Island. specializing in Anesthesiology Physician. They hold a License No. 77595 (MA). The NPI Number for Unknown Individual is 1407807902

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407807902
Phone
(401) 457-3056
Address
830 CHALKSTONE AVE.
Deactivation Date
20 February 2025
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

  • Providence VA Medical Center,, 830, Chalkstone Avenue, Manton, Providence, Providence County, Rhode Island, 02908, United States

    VA MEDICAL CENTER

    PROVIDENCE, RI 029084734

    Phone: (401) 457-3056

    Fax: (401) 457-3353

    Type: Location

  • 19, Reed Street, North Lexington, Lexington, Middlesex County, Massachusetts, 02421, United States

    LEXINGTON, MA 024214309

    Phone: (781) 863-2033

    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

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 02908)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1407807902.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Providence, Rhode Island?
For routing, start with Providence, Rhode Island for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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