Dr. Justin Dale Stevens
Radiology (Diagnostic Radiology)

Address: One Medical Center Drive, Franklin, OH 45005-1066
Phone: 5134205755

Dr. Justin Dale Stevens (NPI# 1235385857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1235385857
Entity Type Individual
Full Name Dr. Justin Dale Stevens
Credential MD
Gender Male
Practice Address One Medical Center Drive
Franklin
OH 45005-1066
Practice Telephone 5134205755
Practice Fax Number 5137054759
Mailing Address 1358 Reagan Ct
Beavercreek
OH 45434-2214
Mailing Telephone 9374223618
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2008-08-14
Last Update Date 2014-06-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 2010-00065 NC
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 35123376 OH

Other Provider Identifier

State Identifier Issuer Type Code
OH H320920 OTHER MEDICARE

Other Providers JUSTIN STEVENS

NPI Name Taxonomy Address Enumeration
1033612239 Justin Stevens Case Manager/Care Coordinator 1810 Sullivant Ave, Columbus, OH 43222-1055 2018-03-14
1154665081 Justin Christopher Stevens Community Health Worker 389 Adams Street, Afton, WY 83110-0376 2012-11-15
1821385915 Justin Matthew Stevens Dentist 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 2011-07-08

Physician Overview

NPI 1235385857
PAC ID by PECOS 7719166933
Professional Enrollment ID I20140620002073
Full Name Justin Dale Stevens
Organization Legal Name OSU RADIOLOGY LLC
Phone Number 6142938315
Gender M
Medical School UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year 2008
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 8921031675
Number of Group Practice Members 77
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360085 OHIO STATE UNIVERSITY STATE HEALTH SYSTEM
360242 JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE

Office Location

Street Address ONE MEDICAL CENTER DRIVE
City FRANKLIN
State OH
Zip Code 45005-1066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811192875 Steven R Sawyers Radiology One Medical Center Drive, Franklin, OH 45005-1066 2007-06-19
1699986984 Jason Akbar Radiology One Medical Center Drive, Franklin, OH 45005-1066 2007-05-25
1750506481 Keith W. Hunsaker Radiology One Medical Center Drive, Franklin, OH 45005-1066 2007-04-16
1184640211 John Christopher Weske Radiology One Medical Center Drive, Franklin, OH 45005-1066 2006-07-14
1154372423 Kevin R. Kroeger Radiology One Medical Center Drive, Franklin, OH 45005-1066 2006-05-12
1386606960 Marcus Oswald Radiology One Medical Center Drive, Franklin, OH 45005-1066 2006-04-06
1154305035 Middletown Diagnostic Services, Inc Specialist One Medical Center Drive, Franklin, OH 45005-1066 2005-12-03
1740272830 Cynthia A Kordelski Radiology One Medical Center Drive, Franklin, OH 45005-1066 2005-08-16
1710979752 Harold Hugh Hawkins Jr. Radiology One Medical Center Drive, Franklin, OH 45005-1066 2005-08-16
1942292032 Ravi Cherukuri Radiology One Medical Center Drive, Franklin, OH 45005-1066 2005-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053835058 Cei Physicians P.s.c., LLC Clinic/Center 5950 Innovation Dr, Franklin, OH 45005 2017-08-01
1356703367 Shawnta Wagner-jenkins Nurse Practitioner 3240 Towne Blvd, Middletown, OH 45005 2016-03-28
1801279781 Latania Thomas Social Worker 3481 S Dixie Hwy 162, Franklin, OH 45005 2015-07-09
1578959722 Andrew C Gantzer Family Medicine 6147 State Route 122 Ste 200, Middletown, OH 45005 2015-04-14
1285026088 Expert Hearing Clinic, LLC Hearing Aid Equipment 8401 Claude Thomas Rd Suite 27, Franklin, OH 45005 2015-03-03
1689062440 Emergency Medicine Specialists, Inc. Emergency Medicine 100 Kettering Way, Franklin, OH 45005 2015-01-02
1972907186 Talbert House Health Center Clinic/Center 333 Conover Dr Ste D, Franklin, OH 45005 2014-10-17
1114333531 Kristen Caldwell Student in an Organized Health Care Education/Training Program 6147 West State Rout 122, Suite 200, Middletown, OH 45005 2014-07-07
1134540198 Cassandra Hazelrig Nurse Practitioner 4464 S Dixie Hwy, Middletown, OH 45005 2013-12-18
1427347194 Savio M Kumar Internal Medicine 200 Medical Center Dr Ste 360, Middletown, OH 45005 2011-04-04
Find all providers in zip 45005

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407284888 Chi Yol Ryu Radiology 1431 Willowbrooke Cir, Franklin, TN 37069-7201 2013-10-23
1669772448 Riverside Radiology Medical Group, Inc. Radiology 1 Meadowbrook Rd, Franklin, MA 02038-1133 2010-10-27
1043536931 Joan Thompson Williams Radiology 1008 Chapel Lake Cir, Franklin, TN 37069-4665 2010-04-16
1811224918 William Henry Straub Radiology 533 Miller Rd, Franklin, PA 16323-3535 2009-11-10
1922269844 Marvin Gordon Radiology 25862 Hersheyvale Dr, Franklin, MI 48025-1236 2008-06-23
1528271152 Eric M Edds Radiology The Medical Center @ Franklin, 1100 Brookhaven Road, Franklin, KY 42134-2746 2007-05-08
1831274109 Vipul Sharma Radiology 7005 W Rawson Ave, Franklin, WI 53132-8113 2006-10-26
1801998711 William Bryan Olson Radiology 121 Oakwood Dr, Franklin, VA 23851-1205 2006-09-01
1700805918 Digital Diagnostics, Plc Radiology 4155 Carothers Pkwy, Franklin, TN 37067-5905 2006-07-19
1063482156 Cardiolabs, Inc. Radiology 357 Riverside Dr, Suite 1000, Franklin, TN 37064-8963 2006-01-23
Find all providers in FRANKLIN

Competitor

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City FRANKLIN
Zip Code 45005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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