Unknown Individual – Otolaryngology Physician, NPI 1790789634

Unknown Individual is a healthcare provider. based in Knoxville, Tennessee. specializing in Otolaryngology Physician. They hold a License No. 1728 (TN). The NPI Number for Unknown Individual is 1790789634

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790789634
Phone
(865) 693-6065
Address
PO BOX 31547
Deactivation Date
30 November 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

  • PO BOX 31547

    KNOXVILLE, TN 379301547

    Phone: (865) 693-6065

    Fax: (865) 531-6325

    Type: Mailing

  • 9430, Park West Boulevard, Knoxville, Knox County, Tennessee, 37923, United States

    STE 330

    KNOXVILLE, TN 379234203

    Phone: (865) 693-6065

    Fax: (865) 531-6325

    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

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 37930)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1790789634 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Otolaryngology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Knoxville, Tennessee in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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