Unknown Individual – Occupational Medicine Physician, NPI 1003886664

Unknown Individual is a healthcare provider. based in Portsmouth, Virginia. specializing in Occupational Medicine Physician. They hold a License No. 0101043976 (VA). The NPI Number for Unknown Individual is 1003886664

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003886664
Phone
(757) 314-6931
Address
620 JOHN PAUL JONES CIR
Deactivation Date
3 February 2022
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

Provider Addresses for Unknown Individual

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    Phone: (757) 314-6931

    Type: Location

  • 212, Gallenway Terrace, Dails Landing, Chesapeake, Virginia, 23322, United States

    CHESAPEAKE, VA 233225470

    Phone: (757) 482-2071

    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 23708)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1003886664 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is Unknown Individual registered?
Use Portsmouth, Virginia as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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