Unknown Individual – Obstetrics & Gynecology Physician, NPI 1194978007

Unknown Individual is a healthcare provider. based in Mercer island, Washington. specializing in Obstetrics & Gynecology Physician. They hold a License No. 01063677A (IN). The NPI Number for Unknown Individual is 1194978007

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194978007
Phone
(206) 232-3535
Address
8383 SE 50TH PL
Deactivation Date
12 December 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:0State licenses:9Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8383, Southeast 50th Place, Mercer Island, King County, Washington, 98040, United States

    MERCER ISLAND, WA 980404657

    Phone: (206) 232-3535

    Fax: (206) 433-3407

    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.

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 98040)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1194978007 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Obstetrics & Gynecology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Mercer Island, Washington for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1194978007. Always confirm identity and privileges with the practice and licensing boards.