Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Michael Humeniuk, MD, LLC

Individual provider Procedural Dermatology Physician · NPI 1639164528

John Michael Humeniuk, MD, LLC is a Dermatology in Greenville, South Carolina. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
49
Licensed in
SC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21 Memorial Medical Dr
Greenville, SC 29605-4407
Phone: (864) 295-9085
Fax: (864) 295-1075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 10819 (SC)

Record details

NPI number1639164528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , LLC
Sole proprietorYes
NPI enumeratedSeptember 16, 2005
Last updated in NPPESDecember 20, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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