Unknown Individual – Surgery Physician, NPI 1730280900

Unknown Individual is a healthcare provider. based in Edmonds, Washington. specializing in Surgery Physician. They hold a License No. MD10671 (WA). The NPI Number for Unknown Individual is 1730280900

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730280900
Phone
(425) 673-3380
Address
21601 76TH AVE W
Deactivation Date
25 November 2020
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

  • Swedish Medical Center Edmonds Campus, 21601, 76th Avenue West, Perrinville, Edmonds, Snohomish County, Washington, 98026, United States

    EDMONDS, WA 980267507

    Phone: (425) 673-3380

    Type: Location

  • 3818, Northeast 148th Street, Lake Forest Park, King County, Washington, 98155, United States

    LAKE FOREST PARK, WA 981557834

    Phone: (206) 368-9779

    Type: Mailing

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 98026)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1730280900 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Edmonds, Washington for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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