Harry M Humeniuk MD INC
Dermatology, MOHS-Micrographic Surgery in Sylvania, OH. Organization (NPI-2).
NPI number1124159686
StatusActive
Last updated in NPPESOct 16, 2007
Details
- NPI
- 1124159686
- Entity type
- Organization (NPI-2)
- Legal business name
- Harry M Humeniuk MD INC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Oct 16, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 35061843 | OH | Yes |
| 207Q00000X | Family Medicine | 34007965B | OH |
Other names
- Harry M Humeniuk MD (Former Legal Business Name)
Practice location
4935 Harroun RdSylvania, OH 43560-2107
Phone 419-885-7546 · Fax 419-882-4969
Mailing address
4935 Harroun RdSylvania, OH 43560-2107
Phone 419-885-7546 · Fax 419-882-4969
Authorized official
Harry Michael Humeniuk
Owner, President
4198867546
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