Individual provider Active NPI

Samantha Elizabeth Houser, D.O.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1053602375
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.011704 Issued in OH
Practice address
5701 Far Hills Ave
Dayton, OH 45429-2207
Phone
(937) 435-6222
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.011704 OH Primary

Addresses

Primary practice location

5701 Far Hills Ave
Dayton, OH 45429-2207

Mailing address

5701 Far Hills Ave
Dayton, OH 45429-2207
Phone (937) 435-6222

Other practice location 1

5692 Far Hills Ave Ste 1A
Kettering, OH 45429-2202
Phone (937) 435-6222

Other identifiers 3

IdentifierTypeStateIssuer
0120633MedicaidOH
2147224OtherOHGROUP MEDICAID
9271701OtherOHGROUP MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806012774 OH Practitioner - Obstetrics/Gynecology 0345478558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Far Hills OB GYN IncGroup PAC ID 5395773998, 7 clinicians

Practice addresses (Care Compare)

5701 Far Hills Ave
Dayton, OH 45429-2207
Phone (937) 435-6222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.011704OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Far Hills OB GYN Inc Obstetrics & Gynecology CurrentSince Aug 3, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

5701 Far Hills Ave
Dayton, OH 45429
Phone (937) 435-6222

5692 Far Hills Ave
Ste 1A
Kettering, OH 45429
Phone 9374356222 ext. 122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIFCA/Endpoint/IBIFCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1053602375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5692 Far Hills Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292202",
            "country_code": "US",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.011704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120633",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "2147224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "9271701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.