Far Hills OB GYN Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

207VX0000X Issued in OH

Legal business name

FAR HILLS OB GYN INC

Practice address

5701 Far Hills Ave
Dayton, OH 45429-2207

Phone

(937) 435-6222

Fax

(937) 438-8451

NPI assigned

Jul 20, 2007

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pam S Palmer

Title

Practice Administrator

Phone

(937) 435-6222

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph John Hancox, MD

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1093210288
  Medicare reassignment Care Compare group NPD
• Samantha Elizabeth Houser, D.O.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1053602375
  Medicare reassignment Care Compare group NPD
• Caroline H Kennebeck, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1346228749
  Medicare reassignment Care Compare group NPD
• Shannon Nikole McAfee, D.O.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1609033125
  Medicare reassignment Care Compare group NPD
• Kelly Lynn McCluskey-Erskine, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1285766261
  Medicare reassignment Care Compare group NPD
• Jennifer Ann Mittlestead, M.D.

  • Obstetrics Physician
  • Dayton, OH
  • NPI 1295024131
  Medicare reassignment Care Compare group NPD
• Megan Bonk, PA-C

  • Physician Assistant
  • Piqua, OH
  • NPI 1366813099
  Medicare reassignment Care Compare group
• John Mark Shie, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1356328439
  Medicare reassignment

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1962602680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222",
            "fax_number": "937-438-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5692 Far Hills Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292202",
            "country_code": "US",
            "telephone_number": "937-435-6222 x122",
            "fax_number": "937-438-8451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAR HILLS OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "937-435-6222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "207VX0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "H095791",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120714",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Wellness & Empowerment Program LLC
• Kaili Fan, MD
• Lindsey Fancett, PA-C
• Cheryl Fannin
• Sydney Fannin
• Far Hills Open MRI Inc
• Lily Faris
• Erin Farkas
• Brandon Farler, DNP, CRNA
• Brittany Farley, QMHS/CMS

• Obstetrics & Gynecology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.