Harry M Humeniuk MD Inc

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

35061843 Issued in OH

Legal business name

HARRY M HUMENIUK MD INC

Practice address

4935 Harroun Rd
Sylvania, OH 43560-2107

Phone

(419) 885-7546

Fax

(419) 882-4969

NPI assigned

Mar 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harry Michael Humeniuk, M.D.

Title

Owner, President

Phone

(419) 886-7546

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HARRY M HUMENIUK MD Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmella M Gillespie, M.D.

  • Ophthalmology Physician
  • Oregon, OH
  • NPI 1285869164
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1124159686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602107",
            "telephone_number": "419-885-7546",
            "fax_number": "419-882-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602107",
            "telephone_number": "419-885-7546",
            "fax_number": "419-882-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY M HUMENIUK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HUMENIUK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "419-886-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35061843",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007965B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRY M HUMENIUK MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Harmony Chiropractic Center, Inc
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• Harmony Homes Behavioral Health L.L.C.
• Laurie E Harple, AU.D.
• Patricia Ann Harrelson, LISW-S
• Brenda M Hartley, MD
• Robert H Hartwig, M.D.
• Ashok Harwani, MD
• Syed Shafae Hasan, D.O.
• Jennifer Haselman

• MOHS-Micrographic Surgery Physician in Sylvania, OH
• Providers in Sylvania, OH by specialty
• MOHS-Micrographic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.