Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Waterstreet Family Practice, Inc.

Sports Medicine (Family Medicine) Physician in Xenia, OH · enumerated 2007 · authorized official Penny Hogan, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831300862

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Registry record

Entity type Organization (Type 2)

Legal business name Waterstreet Family Practice, Inc.

Practice address 1162 N Monroe Dr, Xenia, OH, 45385

Phone (937) 374-6450

Fax (937) 374-6455

Enumeration date May 24, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 35071125H (OH) Primary

Authorized official

Name Penny Hogan

Title Physician

Phone (937) 374-6450

Other identifiers

Identifier	Type	State	Issuer
2150032	Medicaid	OH	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Waterstreet Family Practice, Inc.?

Waterstreet Family Practice, Inc. is registered in NPPES as a Sports Medicine (Family Medicine) Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.