Provider Demographics
NPI:1285632869
Name:HUFFMAN, CHERYL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N BLANCHARD ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4503
Mailing Address - Country:US
Mailing Address - Phone:419-427-0809
Mailing Address - Fax:419-427-2840
Practice Address - Street 1:1800 N BLANCHARD ST
Practice Address - Street 2:SUITE 121
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4503
Practice Address - Country:US
Practice Address - Phone:419-427-0809
Practice Address - Fax:419-427-2840
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078542208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2249383Medicaid
OH4051551Medicare PIN
OH4051154Medicare PIN
OH4051153Medicare PIN
OH2249383Medicaid