Unknown Individual – Family Medicine Physician, NPI 1083602098

Unknown Individual is a healthcare provider. based in Hill air force base, Utah. specializing in Family Medicine Physician. They hold a License No. 178426-1204 (UT). The NPI Number for Unknown Individual is 1083602098

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083602098
Phone
(801) 777-1154
Address
7238 6TH ST
Deactivation Date
11 January 2021
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

Provider Addresses for Unknown Individual

  • 7238 6TH ST

    75 AMDS/SGPO

    HILL AIR FORCE BASE, UT 840565213

    Phone: (801) 777-1154

    Fax: (801) 775-6884

    Type: Location

  • Ogden, Guysborough District Municipality, Guysborough County, Nova Scotia, Canada

    OGDEN, UT 844035437

    Phone: (801) 777-1154

    Fax: (801) 775-6884

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 84056)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1083602098.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Utah?
You will see Hill Air Force Base, Utah on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1083602098. Always confirm identity and privileges with the practice and licensing boards.