Unknown Individual – Emergency Medicine Physician, NPI 1376580282

Unknown Individual is a healthcare provider. based in Knoxville, Tennessee. specializing in Emergency Medicine Physician. They hold a License No. 526 (TN). The NPI Number for Unknown Individual is 1376580282

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376580282
Phone
Not provided
Address
6212 MOUNTAIN PARK DR
Deactivation Date
16 June 2021
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

  • 6212 MOUNTAIN PARK DR

    KNOXVILLE, TN 379189223

    Phone:

    Type: Mailing

  • Methodist Medical Center of Oak Ridge, 990, Oak Ridge Turnpike, Jackson Square, Oak Ridge, Anderson County, Tennessee, 37831, United States

    OAK RIDGE, TN 378306976

    Phone: (865) 481-1000

    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.

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 37918)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1376580282.
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 is Unknown Individual's specialty?
The listing groups Unknown Individual with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Knoxville, Tennessee in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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