MR. GARY ROBERT HUSTON (NPI# 1104836881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104836881 |
| Entity Type | Individual |
| Full Name | MR. GARY ROBERT HUSTON |
| Credential | DO |
| Practice Address |
177 West St Conneaut OH 44030 |
| Practice Telephone | 4405936551 |
| Practice Fax Number | 4405936522 |
| Mailing Telephone | 4405936551 |
| Mailing Fax Number | 4405936522 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34004562 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0772310 | 05 |
| Street Address |
177 WEST ST |
| City | CONNEAUT |
| State | OH |
| Zip Code | 44030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295199636 | Curtis D Jackson | Counselor | 177 West St, Conneaut, OH 44030-2153 | 2016-04-12 |
| 1063827491 | Conneaut Psychiatric Services, LLC | Nurse Practitioner | 177 West St, Conneaut, OH 44030-2153 | 2014-06-24 |
| 1114299104 | Gary R. Huston D.o., Inc | General Practice | 177 West St, Conneaut, OH 44030-2153 | 2012-02-06 |
| 1134206113 | Donna Lee Judkins Workman | Registered Nurse | 177 West St, Conneaut, OH 44030 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942672514 | Brenda Kraus | Technician/Technologist | 448 W Main Rd, Conneaut, OH 44030 | 2015-10-22 |
| 1508232653 | Kathaleen Renee Bucci | Licensed Practical Nurse | 191 Salisbury Road, Conneaut, OH 44030 | 2015-08-12 |
| 1730511494 | Kristy Kay Jerina | Licensed Practical Nurse | 575 Dorman Rd., Conneaut, OH 44030 | 2013-08-05 |
| 1942572516 | Tracy Bidwell | Emergency Medical Technician, Basic | 284 S. Ridge Rd W, Conneaut, OH 44030 | 2012-01-30 |
| 1639493596 | Jorge Antonio Ricaurte | Internal Medicine | 200 Townsend Ave, Conneaut, OH 44030 | 2010-03-22 |
| 1992900989 | Laurie A Reed | Nurse Practitioner | 117 West St., Conneaut, OH 44030 | 2007-06-19 |
| 1346456811 | Michele Ann Powell | Home Health Aide | 1352 Lake Road, Conneaut, OH 44030 | 2007-05-14 |
| 1801914916 | Joseph A Denunzio Dds PC | Dentist | 333 Liberty Street, Conneaut, OH 44030 | 2007-03-27 |
| 1447330519 | Brown Memorial Hospital | Emergency Medicine | 158 West Main St, Conneaut, OH 44030 | 2006-10-16 |
| 1376506410 | Samuel Anthony Namey | Emergency Medicine | 158 West Main Street, Conneaut, OH 44030 | 2006-04-10 |
| Find all providers in zip 44030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851734479 | Elaina Cabrere Williams | Family Medicine | 354 W Main Rd, Conneaut, OH 44030-2043 | 2013-04-12 |
| 1679602882 | University Primary Care Practices Inc | Family Medicine | 167f W Main Rd, Conneaut, OH 44030-2057 | 2007-03-05 |
| 1548201676 | Linda Elaine Weber | Family Medicine | 167 W Main Rd, Suite G, Conneaut, OH 44030-2057 | 2006-06-09 |
| 1427057207 | Manjot K Kang | Family Medicine | 167 W Main Rd Ste F, Conneaut, OH 44030-2057 | 2005-07-14 |
| 1295114387 | Samantha Nichole Kiefer | Family Medicine | 167 W Main Rd Ste F, Conneaut, OH 44030-2057 | 2015-05-22 |
| 1427078880 | John R Meranda & Linda Elaine Weber | Family Medicine | 167 W Main Rd, Suite G, Conneaut, OH 44030-2057 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.