Provider Demographics
NPI:1598785842
Name:YUHAS, JOHN LEONARD (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LEONARD
Last Name:YUHAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 W MCPHERSON HWY
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:OH
Mailing Address - Zip Code:43410-1132
Mailing Address - Country:US
Mailing Address - Phone:419-547-8555
Mailing Address - Fax:419-547-9119
Practice Address - Street 1:455 W MCPHERSON HWY
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:OH
Practice Address - Zip Code:43410-1132
Practice Address - Country:US
Practice Address - Phone:419-547-8555
Practice Address - Fax:419-547-9119
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0837821Medicaid
OHYU0669758Medicare UPIN
OH0837821Medicaid