Active NPI
Patrick Alan Huguelet, CAA
- Anesthesiologist Assistant
- Maumee, OH
National Provider Identifier
1104434539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000380
- Practice address
- 5959 Monclova Rd
Maumee, OH 43537-1888 - Phone
- (419) 897-5501
- NPI assigned
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67.000380 | OH | Primary |
Addresses
Primary practice location
5959 Monclova Rd
Maumee, OH 43537-1888
Mailing address
413 E Huron St Apt 1007
Ann Arbor, MI 48104-1778
Phone (248) 880-5086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1104434539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E HURON ST APT 1007",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041778",
"telephone_number": "248-880-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371888",
"telephone_number": "419-897-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGUELET",
"first_name": "PATRICK",
"middle_name": "ALAN",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.