Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1992103774

Unknown Individual is a healthcare provider. based in Tumwater, Washington. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Unknown Individual is 1992103774

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992103774
Phone
(360) 754-3338
Address
1610 BISHOP RD SW STE 101
Deactivation Date
20 May 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1610 BISHOP RD SW STE 101

    TUMWATER, WA 985127303

    Phone: (360) 754-3338

    Type: Mailing

  • 201 TAHOMA BLVD

    SUITE 208

    YELM, WA 985977735

    Phone: (360) 400-3338

    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.

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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 98512)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1992103774.
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 primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Tumwater, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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