Provider Demographics
NPI:1578552642
Name:HUGGINS, TYLER K (MD)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:K
Last Name:HUGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 STATE ROUTE 598
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-9367
Mailing Address - Country:US
Mailing Address - Phone:419-468-0111
Mailing Address - Fax:419-468-0113
Practice Address - Street 1:1200 STATE ROUTE 598
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-9367
Practice Address - Country:US
Practice Address - Phone:419-468-0111
Practice Address - Fax:419-468-0113
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-061763207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341733066OtherTAX ID
OH0888204Medicaid
OH0888204Medicaid
OHF27499Medicare UPIN