Unknown Individual – Orthopaedic Surgery Physician, NPI 1790764918

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Orthopaedic Surgery Physician. They hold a License No. 0101042342 (VA). The NPI Number for Unknown Individual is 1790764918

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790764918
Phone
Not provided
Address
856 J CLYDE MORRIS BLVD
Deactivation Date
22 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States

    SUITE A

    NEWPORT NEWS, VA 236011318

    Phone:

    Type: Mailing

  • 9506, Hospital Avenue, Nassawadox, Northampton County, Virginia, 23413, United States

    NASSAWADOX, VA 23413

    Phone: (757) 414-8333

    Fax: (757) 414-8338

    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 23601)

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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 1790764918.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Newport News, Virginia may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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