Unknown Individual – Internal Medicine Physician, NPI 1447246715

Unknown Individual is a healthcare provider. based in Mount vernon, Washington. specializing in Internal Medicine Physician. They hold a License No. MD00043127 (WA). The NPI Number for Unknown Individual is 1447246715

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1447246715
Phone
(360) 428-2500
Address
1400 E KINCAID ST
Deactivation Date
20 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1400, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States

    ATTN: CREDENTIALING

    MOUNT VERNON, WA 982744127

    Phone: (360) 428-2500

    Fax: (360) 428-6485

    Type: Mailing

  • 1990, Hospital Drive, Sedro-Woolley, Skagit County, Washington, 98284, United States

    SUITE 200

    SEDRO WOOLLEY, WA 98284

    Phone: (360) 856-4222

    Fax: (360) 854-2792

    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.

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 98274)

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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 1447246715.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Mount Vernon, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.