Organization Active NPI

Dr W. Barry Humeniuk MD PA

  • Pediatric Orthopaedic Surgery Physician
  • McKinney, TX
National Provider Identifier
1700086246
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
K6004 Issued in TX
Legal business name
DR W. BARRY HUMENIUK MD PA
Practice address
6045 Alma Rd
Suite 340
McKinney, TX 75070-2188
Phone
(972) 931-5437
Fax
(214) 427-8411
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. William Barry Humeniuk, M.D.NPI 1689733107
Title
MD/Owner
Phone
(972) 931-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XP3100X K6004 TX Primary

Addresses

Primary practice location

6045 Alma Rd
Suite 340
McKinney, TX 75070-2188

Mailing address

6045 Alma Rd
Suite 340
McKinney, TX 75070-2188
Phone (972) 931-5437

Other identifiers 1

IdentifierTypeStateIssuer
0027DWOtherTXBCBS ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081029000151 TX Part B Supplier - Clinic/Group Practice 1355312778 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

6045 Alma Rd
Ste 340
McKinney, TX 75070
Phone (972) 931-5437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1700086246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 ALMA RD",
            "address_2": "SUITE 340",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702188",
            "telephone_number": "972-931-5437",
            "fax_number": "214-427-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 ALMA RD",
            "address_2": "SUITE 340",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702188",
            "telephone_number": "972-931-5437",
            "fax_number": "214-427-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR W. BARRY HUMENIUK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "HUMENIUK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "972-931-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "K6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "0027DW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.