Individual provider Active NPI

Daniel E Straiton

  • Surgical Physician Assistant
  • Kettering, OH
National Provider Identifier
1104384577
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.005877RX Issued in OH
Practice address
3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263
Phone
(937) 294-3611
Fax
(937) 294-9010
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005877RX OH
Surgical Physician Assistant 363AS0400X 50.005877RX OH Primary

Addresses

Primary practice location

3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263

Mailing address

3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263
Phone (937) 294-3611

Other identifiers 1

IdentifierTypeStateIssuer
0343256MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address dstraiton657846@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190513002239 OH Practitioner - Physician Assistant 9830432962 Reassigns benefits to 3 organizations
I20250912002439 WV Practitioner - Physician Assistant 9830432962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

1013 Garfield Ave
Parkersburg, WV 26101-4637
Phone (304) 424-4574

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

705 Garfield Ave
Parkersburg, WV 26101-5444

Hospital & facility affiliations

  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2999WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jul 12, 2025 Accepting new patients
Trinity West CurrentSince Jan 2, 2025 Accepting new patients
Alliance Physicians Inc CurrentSince Apr 29, 2019 Accepting new patients
Alliance Physicians Inc CurrentSince Apr 29, 2019 Accepting new patients
Health and Education Building-Urgent Care CurrentSince Jul 12, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Aug 13, 2025 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

425 W Grand Ave
Dayton, OH 45405
Phone (513) 875-4300

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3533 Southern Blvd
Ste 5650
Kettering, OH 45429
Phone (937) 294-3611

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3533 Southern Blvd
Ste 5350
Kettering, OH 45429
Phone 9376439299 ext. 93764

4100 Johnson Rd
Ste 205
Steubenville, OH 43952
Phone (740) 266-1203

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

705 Garfield Ave
Ste 460
Parkersburg, WV 26101
Phone (304) 424-2093

1013 Garfield Ave
Parkersburg, WV 26101
Phone (304) 424-4574

Organizations & group practices 10

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1104384577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5650",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-294-3611",
            "fax_number": "937-294-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5650",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-294-3611",
            "fax_number": "937-294-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAITON",
        "first_name": "DANIEL",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005877RX",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.005877RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343256",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3533 Southern Blvd Ste 5650",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstraiton657846@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3533 Southern Blvd Ste 5650",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.