Provider Demographics
NPI:1336174895
Name:HUX, PERRY MONROE (MD)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:MONROE
Last Name:HUX
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:PO BOX 636930
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6930
Mailing Address - Country:US
Mailing Address - Phone:513-981-5123
Mailing Address - Fax:513-981-5015
Practice Address - Street 1:1800 E 5TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-9139
Practice Address - Country:US
Practice Address - Phone:419-692-5611
Practice Address - Fax:419-695-9401
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-043711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0455252Medicaid
OHHU0472045Medicare PIN
OH0455252Medicaid