Individual provider Active NPI

Kathryn Garrity Hughes, MD

  • Occupational Medicine Physician
  • Middletown, OH
National Provider Identifier
1902828213
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
35078808 Issued in OH
Practice address
4220 Grand Ave
Middletown, OH 45044-6129
Phone
(513) 420-4700
Fax
(513) 420-4704
NPI assigned
Jul 24, 2006
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 35078808 OH
Occupational Medicine Physician 2083X0100X M-15067 ID
General Practice Physician 208D00000X 35078808 OH
Occupational Medicine Physician 2083X0100X 35078808 OH Primary

Addresses

Primary practice location

4220 Grand Ave
Middletown, OH 45044-6129

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 367-5170

Other practice location 1

910 NW 16th St Ste 102
Fruitland, ID 83619-2265
Phone (208) 452-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210420002213 ID Practitioner - Preventive Medicine 0042479834 Reassigns benefits to 2 organizations
I20241025003464 OR Practitioner - Other (Physician) 0042479834 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078808OHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Jun 13, 2021 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Dec 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 13, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 13, 2021 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Dec 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Jun 13, 2021 Accepting new patients
Premier Community Health Past Accepting new patients

Locations

6051 W Emerald St
Boise, ID 83704
Phone (208) 302-5100

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

910 NW 16th St
Ste 102
Fruitland, ID 83619
Phone (208) 302-4200

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

Organizations & group practices 8

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1902828213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 GRAND AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446129",
            "telephone_number": "513-420-4700",
            "fax_number": "513-420-4704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 NW 16th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fruitland",
            "state": "ID",
            "postal_code": "836192265",
            "country_code": "US",
            "telephone_number": "208-452-8040",
            "fax_number": "208-452-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KATHRYN",
        "middle_name": "GARRITY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "OH",
            "license": "35078808",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "ID",
            "license": "M-15067",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35078808",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35078808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.