Unknown Individual – Emergency Medicine Physician, NPI 1558521351

Unknown Individual is a healthcare provider. based in Park city, Utah. specializing in Emergency Medicine Physician. They hold a License No. 177622-1205 (UT). The NPI Number for Unknown Individual is 1558521351

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558521351
Phone
(801) 649-1673
Address
PO BOX 681202
Deactivation Date
27 February 2025
Data current as of
20 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

  • Lhota u Olešnice, okres Blansko, Jihomoravský kraj, Southeast, Czechia

    PARK CITY, UT 840681202

    Phone: (801) 649-1673

    Type: Mailing

  • 221, Charles Lindbergh Drive, Salt Lake International Center, Salt Lake City, Salt Lake County, Utah, 84116, United States

    SALT LAKE CITY, UT 841162811

    Phone: (801) 649-1673

    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 84068)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1558521351.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Park City, Utah for Unknown Individual based on available NPPES addresses.
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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