Active NPI
Jerome Brian Huebsch, D.O.
- Anesthesiology Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34.010888
- Practice address
- 1106 Gardner Rd
Kettering, OH 45429-4524 - Phone
- (937) 867-2235
- NPI assigned
- Dec 7, 2011
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.004204 | OH | |
| Anesthesiology Physician | 207L00000X | 34.010888 | OH | Primary |
Addresses
Primary practice location
1106 Gardner Rd
Kettering, OH 45429-4524
Mailing address
1106 Gardner Road
Kettering, OH 45429
Phone (937) 867-2235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 226-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.004204 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Anesthesia & Pain Services, LLC | Anesthesiology | Current | Accepting new patients |
| Brookfield Anesthesiologists, S.C. | Anesthesiology | Current | Accepting new patients |
| Chad Novasic PT LTD | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
7401 104th Ave
#100
Kenosha, WI 53142
Phone (262) 697-1006
7401 104th Ave
Kenosha, WI 53142
Phone (262) 697-1006
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.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
-
- Anesthesiology Physician
- Brookfield, WI
- NPI 1942257902
-
- Physical Therapist
- Racine, WI
- NPI 1578679890
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Hamilton, OH
- NPI 1104867167
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1851669717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 GARDNER ROAD",
"city": "KETTERING",
"state": "OH",
"postal_code": "45429",
"telephone_number": "937-867-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 GARDNER RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294524",
"telephone_number": "937-867-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBSCH",
"first_name": "JEROME",
"middle_name": "BRIAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "58.004204",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34.010888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.