Individual provider Active NPI

Stephen Hough, FNP

  • Family Nurse Practitioner
  • Xenia, OH
National Provider Identifier
1619331980
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.19028 Issued in OH
Practice address
360 Wilson Dr
Xenia, OH 45385-1870
Phone
(937) 281-6800
NPI assigned
Apr 12, 2016
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
COA19028OtherOHLICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210002969 OH Practitioner - Nurse Practitioner 7810286671 Reassigns benefits to 1 organization

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
Five Rivers Health CentersGroup PAC ID 9335300904, 45 clinicians

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

OrganizationSpecialtyStatusNew patients
Five Rivers Health Centers Current Accepting new patients
Five Rivers Health Centers CurrentSince Oct 1, 2019 Accepting new patients
Beckett Ridge Family Medicine, Inc. PastSince Jan 1, 2001 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.