Individual provider Active NPI

Harry Michael Humeniuk, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sylvania, OH
National Provider Identifier
1912910803
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
35-06-1843 Issued in OH
Practice address
4935 Harroun Rd
Sylvania, OH 43560-2107
Phone
(419) 885-7546
Fax
(419) 882-4969
NPI assigned
Aug 14, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 35-06-1843 OH Primary

Addresses

Primary practice location

4935 Harroun Rd
Sylvania, OH 43560-2107

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1912910803",
    "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": {
        "last_name": "HUMENIUK",
        "first_name": "HARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35-06-1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.

Verify at the official NPI Registry.