Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waterstreet Family Practice, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1831300862

Waterstreet Family Practice, Inc is a Sports Medicine (Family Medicine) Physician in Xenia, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1162 N Monroe Dr
Xenia, OH 45385-1620
Phone: (937) 374-6450
Fax: (937) 374-6455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 35071125H (OH)

Record details

NPI number1831300862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Penny Hogan — Physician · (937) 374-6450
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1162 N Monroe Dr, Xenia, OH 45385-1620