Ethan O Houge

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

309 Whispering Oaks Dr
Germantown Hills, IL 61548-9109

Phone

(309) 383-2275

NPI assigned

Jan 26, 2019

Last updated

Jan 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1487118261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WHISPERING OAKS DR",
            "city": "GERMANTOWN HILLS",
            "state": "IL",
            "postal_code": "615489109",
            "telephone_number": "309-383-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WHISPERING OAKS DR",
            "city": "GERMANTOWN HILLS",
            "state": "IL",
            "postal_code": "615489109",
            "telephone_number": "309-383-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGE",
        "first_name": "ETHAN",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Frenette
• Laura Geiler
• Germantown Fire Protection District (Germantown Hills Fire Department)
• Germantown Hills Medical Center SC
• Benjamin Hahn
• Tamara Sue Howerton, RPH
• Laurel Ruby Huston, LPC
• Emily Mangold, DPT
• Candace Martell, MS, RDN, LDN
• Suzanne Pavesich, SCHOOL COUNSELOR

• Athletic Trainer in Germantown Hills, IL
• Providers in Germantown Hills, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.