Unknown Individual – Surgery of the Hand (Plastic Surgery) Physician, NPI 1629009857

Unknown Individual is a healthcare provider. based in Coupeville, Washington. specializing in Surgery of the Hand (Plastic Surgery) Physician. They hold a License No. MD00011222 (WA). The NPI Number for Unknown Individual is 1629009857

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629009857
Phone
(360) 678-2128
Address
107 S MAIN ST STE D101
Deactivation Date
28 November 2024
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

  • South Main Street, Coupeville, Washington, Island County, Washington, 98239-0745, United States

    COUPEVILLE, WA 982393547

    Phone: (360) 678-2128

    Fax: (360) 678-1878

    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 98239)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1629009857 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Surgery of the Hand (Plastic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Coupeville, Washington because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1629009857. Always confirm identity and privileges with the practice and licensing boards.

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