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NPI Code Detail

MEDICARE: JEFF HUGUS MD

MEDICARE: JEFF HUGUS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician35080307OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000260319OTHEROHANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588665327
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF HUGUS MD
Provider Business Mailing Address
First Line : PO BOX 633390
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-3390
Country : US
Telephone Number : 419-690-7900
Fax Number :
Provider Business Practice Location Address
First Line : 2801 BAY PARK DR
Second Line :
City : OREGON
State : OH
Zip : 43616-4920
Country : US
Telephone Number : 419-690-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 09/28/2007

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Directions to “ JEFF HUGUS MD” Practice Location

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