Waterstreet Family Practice, Inc.
NPI 1831300862 · Sports Medicine (Family Medicine) Physician · Xenia, OH
Waterstreet Family Practice, Inc. is a Sports Medicine (Family Medicine) Physician organization in Xenia, OH (NPI 1831300862).
Provider details
- NPI number
- 1831300862
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Penny Hogan, Physician(937) 374-6450
- License
- 35071125H (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Waterstreet Family Practice, Inc.'s NPI number?
- Waterstreet Family Practice, Inc.'s National Provider Identifier (NPI) is 1831300862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterstreet Family Practice, Inc.?
- Waterstreet Family Practice, Inc. is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Waterstreet Family Practice, Inc. located?
- Waterstreet Family Practice, Inc.'s practice location on file with NPPES is 1162 N Monroe Dr, Xenia, OH 45385-1620.
- What is Waterstreet Family Practice, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Waterstreet Family Practice, Inc. is (937) 374-6450.
- Who is the authorized official for Waterstreet Family Practice, Inc.?
- The authorized official listed on Waterstreet Family Practice, Inc.'s NPPES record is Penny Hogan, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterstreet Family Practice, Inc.'s NPI active?
- Yes — Waterstreet Family Practice, Inc.'s NPI (1831300862) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.