Active NPI
Stephanie Hathaway, DO
- Family Medicine Physician
- Oneida, NY
National Provider Identifier
1225724792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 347433
- Practice address
- 131 Main St
Oneida, NY 13421-1645 - Phone
- (315) 366-3700
- Fax
- (315) 366-3721
- NPI assigned
- Apr 17, 2023
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 347433 | NY | Primary |
Addresses
Primary practice location
131 Main St
Oneida, NY 13421-1645
Mailing address
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6100
Other practice location 1
120 Hobart St
Utica, NY 13501-4308
Phone (315) 798-1149
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
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1225724792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOSPITAL DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135022517",
"telephone_number": "315-624-6100",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MAIN ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134211645",
"telephone_number": "315-366-3700",
"fax_number": "315-366-3721"
}
],
"practiceLocations": [
{
"address_1": "120 Hobart St",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135014308",
"country_code": "US",
"telephone_number": "315-798-1149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATHAWAY",
"first_name": "STEPHANIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-17",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "347433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.