Individual provider Active NPI

Stephen Day Hoag, MD

  • Family Medicine Physician
  • Fayetteville, NY
National Provider Identifier
1740254242
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
244846. Issued in NY
Practice address
4000 Medical Center Dr
Suite 104
Fayetteville, NY 13066-6635
Phone
(315) 663-0059
Fax
(315) 663-0123
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048117 GA
Family Medicine Physician 207Q00000X 244846 NY
Obstetrics & Gynecology Physician 207V00000X 244846 NY
Family Medicine Physician 207Q00000X 244846. NY Primary

Addresses

Primary practice location

4000 Medical Center Dr
Suite 104
Fayetteville, NY 13066-6635

Mailing address

5112 West Taft Road
Suite L
Liverpool, NY 13088
Phone (315) 452-2500

Other identifiers 2

IdentifierTypeStateIssuer
02950374MedicaidNY
RB7909OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000612 NY Practitioner - Family Practice 1759450570 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
St Josephs Hospital Health CenterGroup PAC ID 9234043324, 107 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

4101 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 637-7878

4103 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1500

4104 Medical Ctr Dr
Suite 104
Fayetteville, NY 13066-6635
Phone (315) 663-0059

4117 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1551

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

  • Nascentia Health at Home Home health agency, Syracuse, NY, CCN 337052
  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048117GAMDFamily Medicine Physician
244846.NYMDFamily Medicine Physician
244846NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Physician Health, P.C. Family Medicine CurrentSince May 1, 2008 Accepting new patients
St Josephs Hospital Health Center CurrentSince Jul 15, 2008 Accepting new patients
Upstate Family and Preventive Medicine, Inc Family Medicine CurrentSince Mar 5, 2016 Accepting new patients
St Joseph'S Hospital Health Center Family Medicine CurrentSince Jul 15, 2008 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients

Locations

4103 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7800

4104 Medical Center Dr
Ste 104
Fayetteville, NY 13066
Phone (315) 663-0059

4000 Medical Center Dr
Ste 104
Fayetteville, NY 13066
Phone (315) 637-7878

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

5112 W Taft Rd
Ste L
Liverpool, NY 13088

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211
Phone (315) 432-8899

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

475 Irving Ave
Ste 300
Syracuse, NY 13210
Phone (315) 464-3555

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

Interoperability endpoints

  • Direct secure messaging: shoag2389979@direct.trinity-health.org
  • Direct secure messaging: shoag51400@direct.upstate.edu

Organizations & group practices 7

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 4

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1740254242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 WEST TAFT ROAD",
            "address_2": "SUITE L",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-452-2500",
            "fax_number": "315-452-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666635",
            "telephone_number": "315-663-0059",
            "fax_number": "315-663-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "STEPHEN",
        "middle_name": "DAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048117",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244846",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "244846",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244846.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02950374",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB7909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.