Individual provider Active NPI

Erin Marie Haston

  • Medical Physician Assistant
  • Dayton, OH
National Provider Identifier
1629596044
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.005218RX Issued in OH
Practice address
4160 Little York Rd Ste 20
Dayton, OH 45414-5803
Phone
(937) 454-9527
Fax
(937) 454-9532
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005218RX OH
Medical Physician Assistant 363AM0700X 50.005218RX OH Primary

Addresses

Primary practice location

4160 Little York Rd Ste 20
Dayton, OH 45414-5803

Mailing address

4160 Little York Rd Ste 20
Dayton, OH 45414-5803
Phone (937) 454-9527

Other practice location 1

2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone (937) 564-5462

Other practice location 2

1530 Needmore Rd Ste 300
Dayton, OH 45414-3980
Phone (937) 277-4274

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ehaston574530@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20171103000410 OH Practitioner - Physician Assistant 4880950070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Sep 25, 2017 Accepting new patients
Alliance Physicians, Inc. CurrentSince May 13, 2019 Accepting new patients
Premier Health Specialists Inc Physician Assistant CurrentSince Sep 25, 2017 Accepting new patients
Alliance Physicians Inc CurrentSince May 13, 2019 Accepting new patients

Locations

2510 Commons Blvd
Ste 125
Beavercreek, OH 45431
Phone (866) 224-9472

4160 Little York Rd
Ste 20
Dayton, OH 45414
Phone (937) 454-9327

6438 Wilmington Pike
Ste 220
Dayton, OH 45459
Phone (937) 433-1336

1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745

450B Washington Jackson Rd
Ste 107
Eaton, OH 45320
Phone (877) 645-9474

1250 W National Rd
Ste 110B
Englewood, OH 45315

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 230
Springboro, OH 45066
Phone (866) 224-9472

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

700 S Stanfield Rd
Ste B
Troy, OH 45373
Phone (937) 335-7121

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1629596044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD STE 20",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145803",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD STE 20",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145803",
            "telephone_number": "937-454-9527",
            "fax_number": "937-454-9532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Philadelphia Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061813",
            "country_code": "US",
            "telephone_number": "937-564-5462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Needmore Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454143980",
            "country_code": "US",
            "telephone_number": "937-277-4274",
            "fax_number": "937-277-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTON",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005218RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.005218RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehaston574530@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4160 Little York Rd Ste 20",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4160 Little York Rd Ste 20",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.