Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1477578763

Unknown Individual is a healthcare provider. based in Grafton, Virginia. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 0101029941 (VA). The NPI Number for Unknown Individual is 1477578763

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477578763
Phone
(757) 898-3725
Address
114 WYNNE RD
Deactivation Date
19 April 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

  • 114 WYNNE RD

    GRAFTON, VA 236922944

    Phone: (757) 898-3725

    Type: Mailing

  • 12720, McManus Boulevard, Windsor Great Park, Newport News, Newport News City, Virginia, 23602, United States

    SUITE 201

    NEWPORT NEWS, VA 236024414

    Phone: (757) 875-5400

    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 23692)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1477578763.
Why is Unknown Individual marked inactive in the NPI directory?
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 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Grafton, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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