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FAR HILLS OB GYN INC
NPI 1962602680
Obstetrics & Gynecology in Dayton, OH

Active since July 20, 2007CLIA 36D2176026 · Microscopy
5701 FAR HILLS AVE, DAYTON, OH 45429(937) 435-6222(937) 438-8451 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Far Hills Ob Gyn Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAR HILLS OB GYN INC (NPI 1962602680) is a healthcare organization registered as an obstetrics & gynecology in Dayton, Ohio and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through December 5, 2027, maintains a secondary practice location in Kettering, and lists Pam S Palmer, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1962602680
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFAR HILLS OB GYN INC
Location Address5701 FAR HILLS AVEDayton, OH 45429-2207
Mailing Address5701 Far Hills AveDayton, OH 45429-2207 · (937) 435-6222 · Fax (937) 438-8451
Phone(937) 435-6222
Fax(937) 438-8451
Organization SubpartNo
Authorized OfficialPam S PalmerPractice Administrator · (937) 435-6222
Enumeration DateJuly 20, 2007
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1962602680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 207VX0000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5701 FAR HILLS AVE, Dayton, OH 45429
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Secondary Practice Location 1

Location 15692 Far Hills Ave Ste 1AKettering, OH 45429-2202 · Phone (937) 435-6222 ext. 122 · Fax (937) 438-8451

Other Identifiers 3

Medicaid3120714OH
Medicaid2147224OH
OtherH095791Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Far Hills Ob Gyn Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Far Hills Ob Gyn Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Samantha Houser, D.O.
Obstetrics/Gynecology
NPI 1053602375
5701 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOS✔ Accepts MedicareSame address
Caroline Kennebeck, M.D.
Obstetrics/Gynecology
NPI 1346228749
5701 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOS✔ Accepts MedicareSame address
Kelly Mccluskey-Erskine, M.D.
Obstetrics/Gynecology
NPI 1285766261
5701 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOS✔ Accepts MedicareSame address
John Shie, M.D.
Obstetrics/Gynecology
NPI 1356328439
5701 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOSSame address
Shannon Mcafee, D.O.
Obstetrics/Gynecology
NPI 1609033125
5701 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOS✔ Accepts MedicareSame address
Jennifer Mittlestead, M.D.
Obstetrics/Gynecology
NPI 1295024131
5701 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOS✔ Accepts MedicareSame address
Joseph Hancox, MD
Obstetrics/Gynecology
NPI 1093210288
1 FAR HILLS AVE
Dayton, OH 45429
(937) 435-6222
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2176026

Far Hills Ob/Gyn · Dayton, OH
Active · expires Dec 5, 2027
CLIA Number36D2176026
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorKelly Mccluskey Erskine
Laboratory Phone(937) 435-6222
Laboratory LocationFar Hills Ob/Gyn5692 Far Hills Avenue, Suite 1A, Dayton, OH 45429
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Far Hills Ob Gyn Inc's NPI number?

The NPI number for Far Hills Ob Gyn Inc is 1962602680. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Far Hills Ob Gyn Inc located?

Far Hills Ob Gyn Inc is located at 5701 Far Hills Ave, Dayton, OH 45429. The listed phone number is (937) 435-6222.

What is Far Hills Ob Gyn Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Far Hills Ob Gyn Inc enrolled in Medicare?

Yes. Far Hills Ob Gyn Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Far Hills Ob Gyn Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Far Hills Ob Gyn Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Far Hills Ob Gyn Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2176026) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Far Hills Ob Gyn Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Far Hills Ob Gyn Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Far Hills Ob Gyn Inc was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.