Unknown Individual – Orthopaedic Surgery of the Spine Physician, NPI 1063432888

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Orthopaedic Surgery of the Spine Physician. They hold a License No. MD00018830 (WA). The NPI Number for Unknown Individual is 1063432888

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063432888
Phone
(253) 272-0186
Address
1515 MARTIN LUTHER KING JR WAY
Deactivation Date
12 June 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

  • 1515, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984053933

    Phone: (253) 272-0186

    Fax: (253) 272-2642

    Mailing address matches the actual address.

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.

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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 98405)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1063432888 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Orthopaedic Surgery of the Spine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Tacoma, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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