Active NPI
Stephen Hough, FNP
- Family Nurse Practitioner
- Xenia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.19028
- Practice address
- 360 Wilson Dr
Xenia, OH 45385-1870 - Phone
- (937) 281-6800
- NPI assigned
- Apr 12, 2016
- Last updated
- Apr 27, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA19028 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.19028 | OH | Primary |
Addresses
Primary practice location
360 Wilson Dr
Xenia, OH 45385-1870
Mailing address
4870 Wunnenberg Way
West Chester, OH 45069-4863
Phone (513) 860-4600
Other practice location 1
4870 Wunnenberg Way
West Chester, OH 45069-4863
Phone (513) 860-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA19028 | Other | OH | LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Wilson Dr
Xenia, OH 45385-1810
Phone (937) 281-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Rivers Health Centers | Current | Accepting new patients | |
| Five Rivers Health Centers | Current | Accepting new patients | |
| Beckett Ridge Family Medicine, Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1923 W 3rd St
Ste 200
Dayton, OH 45417
2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800
721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970
360 Wilson Dr
Xenia, OH 45385
Phone (937) 208-3535
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEJGBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dayton, OH
- NPI 1669143061
-
- Family Medicine Physician
- Dayton, OH
- NPI 1053600775
-
- Family Medicine Physician
- Xenia, OH
- NPI 1083501415
-
- Family Medicine Physician
- West Chester, OH
- NPI 1740337765
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1619331980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 WUNNENBERG WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450694863",
"telephone_number": "513-860-4600",
"fax_number": "513-860-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 WILSON DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453851870",
"telephone_number": "937-281-6800"
}
],
"practiceLocations": [
{
"address_1": "4870 Wunnenberg Way",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450694863",
"country_code": "US",
"telephone_number": "513-860-4600",
"fax_number": "513-860-9059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUGH",
"first_name": "STEPHEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA19028",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.19028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "COA19028",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.