Individual provider Active NPI

Stephen E Kathman, PA

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1144566613
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50003642RX Issued in OH
Practice address
620 Kling Dr
Dayton, OH 45419-4201
Phone
(937) 345-3483
Fax
(877) 865-9852
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50003642RX OH Primary

Addresses

Primary practice location

620 Kling Dr
Dayton, OH 45419-4201

Mailing address

2920 Roanoke Ave
Kettering, OH 45419-1356
Phone (513) 313-7758

Other practice location 1

505 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 619-0050

Other identifiers 1

IdentifierTypeStateIssuer
0082058MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skathman465727@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000442 OH Practitioner - Physician Assistant 8022262211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030

1010 Summit Dr
Middletown, OH 45042-3400
Phone (513) 424-0122

1028 Miamisburg Centerville Rd
Washington Township, OH 45459-6700
Phone (937) 281-6340

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

1745 E Stroop Rd
Kettering, OH 45429-5039
Phone (937) 381-6340

3095 Dayton Xenia Rd
Suite 100
Beavercreek, OH 45434-4310
Phone (937) 531-7902

424 E Stroop Rd
Unit B
Ketterign, OH 45429-2843
Phone (937) 562-2300

445 Byers Rd
Miamisburg, OH 45342-5398
Phone (937) 865-0534

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 562-2280

6147 State Route 122
Middletown, OH 45005-5201
Phone 5132613500513261

825 N Main St
Springboro, OH 45066-2100

8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3300

8701 Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 752-2305

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Troy Hospital, Troy, OH, CCN 360368
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50003642RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physicians, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Bobcat Emergency Physicians LLC Physician Assistant Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

8701 Old Troy Pike
Ste 185
Huber Heights, OH 45424
Phone (937) 558-3300

424 E Stroop Rd
Unit B
Kettering, OH 45429
Phone (937) 562-2300

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 120
Springboro, OH 45066
Phone (937) 762-5030

70 Weller Dr
Tipp City, OH 45371
Phone (937) 298-4417

505 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 454-5296

1028 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 281-6340

1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000

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

50 N Progress Dr
Xenia, OH 45385
Phone (937) 352-2850

Organizations & group practices 5

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 4

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1144566613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 ROANOKE AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454191356",
            "telephone_number": "513-313-7758",
            "fax_number": "877-865-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 KLING DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194201",
            "telephone_number": "937-345-3483",
            "fax_number": "877-865-9852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Corporate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "45377",
            "country_code": "US",
            "telephone_number": "937-619-0050",
            "fax_number": "937-619-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHMAN",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50003642RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082058",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skathman465727@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "70 Weller Dr",
            "city": "Tipp City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453713306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "70 Weller Dr",
            "city": "Tipp City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453713306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.