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GARY R. HUSTON D.O., INC
NPI 1114299104
General Practice in Conneaut, OH

Active since February 06, 2012
177 WEST ST, CONNEAUT, OH 44030(440) 593-6551(440) 593-6522 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gary R. Huston D.o., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY R. HUSTON D.O., INC (NPI 1114299104) is a healthcare organization registered as a general practice in Conneaut, Ohio and active in the NPI registry since February 2012. The organization lists Gary Robert Huston, President, as its authorized official.

NPPES Registry Identity

NPI1114299104
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGARY R. HUSTON D.O., INC
Location Address177 WEST STConneaut, OH 44030-2153
Mailing AddressPo Box 635, 177 West StConneaut, OH 44030-0635 · (440) 593-6551 · Fax (440) 593-6522
Phone(440) 593-6551
Fax(440) 593-6522
Organization SubpartNo
Authorized OfficialGary Robert HustonPresident · (440) 593-6551
Enumeration DateFebruary 6, 2012
✔ NPI 1114299104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 34-00-4562
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
177 WEST ST, Conneaut, OH 44030
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Other Identifiers 2

Medicare UPINE48125OH
Medicaid0772310OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary R. Huston D.o., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gary R. Huston D.O., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Huston, DO
General Practice
NPI 1104836881
177 WEST ST
Conneaut, OH 44030
(440) 593-6551
✔ PECOS✔ Accepts Medicare1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary R. Huston D.O., Inc's NPI number?

The NPI number for Gary R. Huston D.O., Inc is 1114299104. It was assigned to this organization in the NPPES registry on February 6, 2012.

Where is Gary R. Huston D.O., Inc located?

Gary R. Huston D.O., Inc is located at 177 West St, Conneaut, OH 44030. The listed phone number is (440) 593-6551.

What is Gary R. Huston D.O., Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gary R. Huston D.O., Inc enrolled in Medicare?

Yes. Gary R. Huston D.O., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gary R. Huston D.O., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Gary R. Huston D.O., Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gary R. Huston D.O., Inc was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.