Active NPI
Nathan McFadden I, AT
- Rehabilitation Hospital
- Kettering, OH
National Provider Identifier
1174989974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- AT.004670
- Practice address
- 4403 Far Hills Ave
Kettering, OH 45429-2405 - Phone
- (937) 395-3920
- NPI assigned
- Jan 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | AT.004670 | OH | Primary |
Addresses
Primary practice location
4403 Far Hills Ave
Kettering, OH 45429-2405
Mailing address
4403 Far Hills Ave
Kettering, OH 45429-2405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.004670 | OH | MD | Rehabilitation Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1174989974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405",
"telephone_number": "937-395-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "NATHAN",
"name_suffix": "I",
"credential": "AT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "OH",
"license": "AT.004670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.