Unknown Individual – Orthopaedic Surgery Physician, NPI 1619946902

Unknown Individual is a healthcare provider. based in Aberdeen, Washington. specializing in Orthopaedic Surgery Physician. They hold a License No. MD00019190 (WA). The NPI Number for Unknown Individual is 1619946902

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619946902
Phone
(360) 532-3808
Address
1211 SKYVIEW DR
Deactivation Date
2 January 2025
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

  • Skyview Manor, Aberdeen, Grays Harbor County, Washington, United States

    ABERDEEN, WA 985201099

    Phone: (360) 532-3808

    Fax: (360) 533-4884

    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

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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 98520)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1619946902 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Aberdeen, 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.

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