NPIMap

Organization Active NPI

Harry M Humeniuk MD Inc

  • MOHS-Micrographic Surgery Physician
  • Sylvania, OH
National Provider Identifier
1124159686
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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.NPI 1912910803
Title
Owner, President
Phone
(419) 886-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X 35061843 OH Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 34007965B OH

Addresses

Primary practice location

4935 Harroun Rd
Sylvania, OH 43560-2107

Mailing address

4935 Harroun Rd
Sylvania, OH 43560-2107
Phone (419) 885-7546

Other names 1

  • HARRY M HUMENIUK MD Former legal business name

National Provider Directory

National Provider Directory

Locations

4935 Harroun Rd
Sylvania, OH 43560
Phone (419) 885-7546

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRY M HUMENIUK MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • 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.