Unknown Individual – Emergency Medicine Physician, NPI 1477500064

Unknown Individual is a healthcare provider. based in Seattle, Washington. specializing in Emergency Medicine Physician. They hold a License No. MD00036750 (WA). The NPI Number for Unknown Individual is 1477500064

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477500064
Phone
(206) 439-2988
Address
PO BOX 34936
Deactivation Date
11 November 2023
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

  • PO BOX 34936

    DEPT # 5006

    SEATTLE, WA 981241936

    Phone: (206) 439-2988

    Fax: (206) 431-3939

    Type: Mailing

  • 16233, Sylvester Road Southwest, Five Corners, Burien, King County, Washington, 98166, United States

    SUITE G40

    BURIEN, WA 981663045

    Phone: (206) 244-6625

    Fax: (206) 244-6726

    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.

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 98124)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1477500064.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Seattle, Washington as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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