Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1124037619

Unknown Individual is a healthcare provider. based in Waukesha, Wisconsin. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 41124 (WI). The NPI Number for Unknown Individual is 1124037619

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124037619
Phone
Not provided
Address
725 AMERICAN AVE
Deactivation Date
13 January 2021
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

Loading map...

Provider Addresses for Unknown Individual

  • Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States

    WAUKESHA, WI 531885031

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 53188)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1124037619 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Waukesha, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

DR. WINSTON N HOLLISTER (MD)

Anatomic Pathology & Clinical Pathology Physician
Midway Road, Addison, Dallas County, Texas, 75001, United States
NPI: 1487631396

DR. ZELDA IKULUMET OKIA (MD)

Anatomic Pathology & Clinical Pathology Physician
515, West Moreland Boulevard, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1578528121

BRIAN D KUECK (MD)

Anatomic Pathology & Clinical Pathology Physician
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1063479392

LAKE COUNTRY PATHOLOGISTS SC

Anatomic Pathology & Clinical Pathology Physician
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1285691519

KARIN H GERDISCH (MD)

Anatomic Pathology & Clinical Pathology Physician
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1194783803

KATHERINE M BAYLISS (MD)

General Practice Physician
1231 GEORGE TOWNE DR STE B
NPI: 1144288861

MICHAEL H WHITTAKER (MD)

Anatomic Pathology & Clinical Pathology Physician
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1336197441

SHERRI J MANN (MD)

Anatomic Pathology & Clinical Pathology Physician
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1174571210

COLLIN B JOHNSON (MD)

Anatomic Pathology & Clinical Pathology Physician
Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States
NPI: 1760430771