| Gary R. Huston D.o., Inc | |
|
177 West St Conneaut OH 44030-2153 | |
| (440) 593-6551 | |
| (440) 593-6522 |
| Full Name | Gary R. Huston D.o., Inc |
|---|---|
| Speciality | General Practice |
| Location | 177 West St, Conneaut, Ohio |
| Authorized Official Name and Position | Gary Robert Huston (PRESIDENT) |
| Authorized Official Contact | 4405936551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary R. Huston D.o., Inc Po Box 635 177 West St Conneaut OH 44030-0635 Ph: (440) 593-6551 | Gary R. Huston D.o., Inc 177 West St Conneaut OH 44030-2153 Ph: (440) 593-6551 |
| NPI Number | 1114299104 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Medicare PECOS PAC ID | 8325096613 |
|---|---|
| Medicare Enrollment ID | O20120227000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114299104 | NPI | - | NPPES |
| 0772310 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 34-00-4562 (Ohio) | Primary |
| Provider Name | Gary R Huston |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104836881 PECOS PAC ID: 5294863726 Enrollment ID: I20100504000635 |
Conneaut Rhc 167 Main Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 W Main Rd Ste D, Conneaut, OH 44030 Phone: 440-593-0197 | |
John R Meranda & Linda Elaine Weber Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 W Main Rd, Suite G, Conneaut, OH 44030 Phone: 440-599-8844 Fax: 440-593-6014 | |
Bmh Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 A Parrish Road, Conneaut, OH 44030 Phone: 440-593-6217 | |
Phoenix Internal Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Parrish Rd., Conneaut, OH 44030 Phone: 440-593-7360 Fax: 440-593-6407 | |
Conneaut Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167f W Main Rd, Conneaut, OH 44030 Phone: 330-599-7466 Fax: 330-593-6498 | |
Conneaut City Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Mill St, Conneaut, OH 44030 Phone: 440-593-3087 Fax: 440-593-6026 |