The Fort Hamilton Hospital
Organization Active NPI General Acute Care Hospital · Hamilton, OH
NPI 1104867167 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1104867167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 1117 (OH)
- Legal business name
- THE FORT HAMILTON HOSPITAL
- Practice address
- 630 Eaton Avenue
Hamilton, OH 45013-2767 - Phone
- (513) 867-2000
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Ko
- Title
- Kettering Health Cfo
- Phone
- (937) 395-8522
Owners & managing parties with NPI records 5
-
Harvey Sung-Ha Hahn, M.D.
-
Cherish Joy Prutzman, M.D
-
Kevin L Sharrett, MD
-
Troy Alan Tyner, D.O.,F.A.C.O.I.
-
Tamara Thomas, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 11
Practitioners 25
-
Henry T Akinbi, M.D.
-
Beverly Alten, MD
-
Phillip C Carr, M.D.
-
Ali Elazab, MD
-
Ryan Michael Grote, D.O.
-
Alisa O McGill, M.D.
-
Anna Parizh, DO
-
Sivani S. Pathmarajah, M.D.
-
Laura Susan Peterson, M.D.
-
Ajay Ponkshe, MD
-
Kelly D Risner, M.D.
-
Manish Sachdeva, MD
-
Joseph S Scheidler, D.O.
-
Peter A Scheidler, D.O.
-
Daniel Swarr, M.D.
-
Jennifer B Winters, D.O.
Affiliated clinicians 289
-
Afi Edi Agbo, APRN
-
Mary L Alexander, CRNA
-
Beverly Alten, MD
-
Dennis M Anthony, M.D.
-
Scott Joseph Arnold, M.D.
-
Sarah A Ballard, PA-C
-
Anna Ruth Balog, M.D.
-
Michelle Barrord, MD
-
Eric L Bauer, M.D.
-
Dilip Bearelly, MD
-
Andrea Renee Bell-Willis, M.D.
-
Rachel Bird, PMHNP-BC
-
Rachel Lynn Boggus, M.D.
-
Jaclyn M Borchers, CRNA
-
Edward L Brewer III, M.D.
Medicare Care Compare: Hospital
- Listed as
- Fort Hamilton Hughes Memorial Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2126637 | Kettering Health Hamilton - Waived | Certificate of waiver | Mar 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Hospital certification: CCN 360132
- Legal name
- THE FORT HAMILTON HOSPITAL
- Doing business as
- KETTERING HEALTH HAMILTON
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 12, 2017
- Beds
- 220 (173 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 17, 1925 in OH
- Enrollment address
- 630 Eaton Ave
Hamilton, OH 45013-2767 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin L Sharrett |
Corporate Director |
Jan 31, 2024 | |
| Michael Gentry |
Corporate Officer |
Jul 3, 2023 | |
| Corporate Director |
Jan 31, 2024 | ||
| Marcellus Robinson |
Corporate Officer |
Apr 30, 2024 | |
| Corporate Director | Apr 30, 2024 | ||
| Norman Spence |
W-2 Managing Employee |
Oct 8, 2025 | |
| Keisha Stubbs-Bone |
Corporate Director |
Jan 31, 2024 | |
| Vanessa Oliver-Ward |
Corporate Director |
Feb 5, 2025 | |
| Tamara L Thomas |
Corporate Director |
Jan 31, 2024 | |
| Robert Weigel |
Corporate Director |
Jan 31, 2024 | |
| Adele Riley |
Corporate Director |
Jan 31, 2024 | |
| Leslie Neff |
Corporate Director |
Jan 31, 2024 | |
| John Sackett |
Corporate Director |
Nov 11, 2024 | |
| Troy Alan Tyner |
Corporate Director |
Jan 31, 2024 | |
| Harvey Sung Ha Hahn |
Corporate Director |
Feb 5, 2025 | |
| Timothy Y Ko |
Corporate Officer |
Nov 18, 2022 | |
| Andrew Sutton |
Corporate Director |
Feb 5, 2025 | |
| Kettering Adventist Healthcare |
Operational/Managerial Control | Jul 31, 2009 | 100% |
| Other | Jan 31, 2024 | ||
| Cherish J Prutzman |
Corporate Director |
Jan 31, 2024 | |
| Robert Patterson |
Corporate Director |
Jan 31, 2024 | |
| David Martin |
Corporate Director |
May 8, 2025 | |
| Peter N Landless |
Corporate Director |
Feb 5, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050512000299 | OH | Part a Provider - Hospital | 8325039332 | Practice locations: Fairfield Township, OH; Hamilton, OH |
National Provider Directory
- Tax ID family
- Fort Hamilton-Hughes Me
Locations
1010 Cereal Ave
Ste 100
Hamilton, OH 45013
Phone (513) 867-2057
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1117 | OH | Yes |
Addresses
Primary practice location
630 Eaton Avenue
Hamilton, OH 45013-2767
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3598
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01540145 | Medicaid | KY | |
| 016142002 | Medicaid | LA | |
| 304642370 | Medicaid | MI | |
| 9126813 00 | Medicaid | FL | |
| XHSP32617 | Medicaid | CA | |
| XHSP42617 | Medicaid | CA | |
| 100275840A | Medicaid | IN | |
| 154913105 | Medicaid | AR | |
| 372243 | Medicaid | AZ | |
| 4181204 | Medicaid | NJ | |
| 016142002 | Medicaid | MO | |
| 2875330 | Medicaid | OH | |
| 431930200 | Medicaid | ME | |
| 3600132 | Medicaid | NC | |
| 000472337X | Medicaid | GA | |
| 01884633 | Medicaid | NY | |
| 404642389 | Medicaid | MI |
Other names
- Kettering Health Hamilton
Other providers in Hamilton, OH
- Kelsey Terry
- Marilyn None Terry
- Aimee Rose Terzo
- Antoinette M Thacker
- Edward Thatcher
- The Fort Hamilton Hospital
- The Fort Hamilton Hospital
- The Fort Hamilton Hospital
- The Fort Hamilton Hospital, Inc.
- The Great Miami Valley Young Men'S Christian Association
All providers in Hamilton, OH · General Acute Care Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.