Individual provider Active NPI

Huston Dockery, PA-C

  • Physician Assistant
  • Batavia, OH
National Provider Identifier
1659048718
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007007 Issued in OH
Practice address
2055 Hospital Dr Ste 300
Batavia, OH 45103-1981
Phone
(513) 732-0663
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007007 OH Primary

Addresses

Primary practice location

2055 Hospital Dr Ste 300
Batavia, OH 45103-1981

Mailing address

2055 Hospital Dr Ste 265
Batavia, OH 45103-1981
Phone (513) 732-9300

Other practice location 1

9845 Spruce Ln
Union, KY 41091-9784
Phone (859) 360-4669

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
I20211006001582 OH Practitioner - Physician Assistant 3173921129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Old Bank Rd
Suite 103
Milford, OH 45150-2443
Phone (513) 624-2070

2055 Hospital Dr
Batavia, OH 45103-1981

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8629

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.007007OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Feb 23, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Physician Assistant CurrentSince Feb 23, 2023 Accepting new patients

Locations

2055 Hospital Dr
Ste 265
Batavia, OH 45103
Phone (513) 732-9300

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

4450 Eastgate Blvd
Ste 300
Cincinnati, OH 45245
Phone (513) 981-4202

3050 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-4722

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: hdockery731682@direct.bsmhealth.org

Organizations & group practices 3

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1659048718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 HOSPITAL DR STE 265",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031981",
            "telephone_number": "513-732-9300",
            "fax_number": "513-732-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HOSPITAL DR STE 300",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031981",
            "telephone_number": "513-732-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9845 Spruce Ln",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "KY",
            "postal_code": "410919784",
            "country_code": "US",
            "telephone_number": "859-360-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "HUSTON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.