Justin Dale Stevens Diagnostic Radiology
395 W 12th Ave Rm, Suite 460, Columbus, OH 43210-1267


Justin Dale Stevens is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1235385857. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7719166933. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is OSU RADIOLOGY LLC. The address is 395 W 12th Ave Rm, Suite 460, Columbus, OH 43210-1267. The zip code is 43210.


Justin Dale Stevens · 395 W 12th Ave Rm, Suite 460, Columbus, OH 43210-1267

Nation Provider ID 1235385857
PAC ID by PECOS 7719166933
Professional Enrollment ID I20140620002073
Last Name STEVENS
First Name JUSTIN
Middle Name DALE
Gender M
Medical School Name UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year 2008
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty OSU RADIOLOGY LLC
Phone Number 6142938315
Group Practice PAC ID 8921031675
Number of Group Practice Members 74
Address 395 W 12TH AVE RM
SUITE 460
COLUMBUS, OH 432101267
Claims Based Hospital Affiliation Claim Control Number (CCN): 360085
Legal Business Name: OHIO STATE UNIVERSITY HOSPITALS
Claims Based Hospital Affiliation Claim Control Number (CCN): 360242
Legal Business Name: JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE
Claims Based Hospital Affiliation Claim Control Number (CCN): 361331
Legal Business Name: FAYETTE COUNTY MEMORIAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 360092
Legal Business Name: MEMORIAL HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

subpremise: 460
street_number: 395
route: West 12th Avenue (W 12th Ave)
neighborhood, political: The Ohio State University
locality, political: Columbus
admin_level_2, political: Franklin County
admin_level_1, political: Ohio (OH)
country, political: United States (US)
postal_code: 43210
postal_code_suffix: 1267
types : subpremise
latitude: 39.9956178
longitude: -83.0176745
latlng: (39.9956178, -83.0176745)


Osu Radiology LLC · Medicare Physician

Name Address Specialty
Patricia Little 395 W 12th Ave Rm, Columbus, OH 43210-1267 NURSE PRACTITIONER
Zarine Shah 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Jason Payne 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Tom Stamatis 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Gretchen Cordero 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Michelle Schnurr 395 W 12th Ave Rm, Columbus, OH 43210-1267 NURSE PRACTITIONER
Kelly Corrigan 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
David Di Lorenzo 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Alan Rogers 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
H Slone 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mohammad Shujaat 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Arpit Nagar 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mona Natwa 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Ephraim Hollander 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Xuan Nguyen 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Andrew Colvin 395 W 12th Ave Rm, Columbus, OH 43210-1267 NURSE PRACTITIONER
Jeffrey Dedelow 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Joici Job 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Sharukh Bhavnagri 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Gehan Ibrahim 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY

Zip 43210 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Gretchen Cordero 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Michael Barrows 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Lindsay Wright 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Jason Payne 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Hooman Khabiri 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Christopher Davis 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Sharukh Bhavnagri 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Gehan Ibrahim 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Ephraim Hollander 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
H Slone 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Trenton Rink 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Richard White 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Chadwick Wright 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Amy Kerger 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Luciano Prevedello 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mitva Patel 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Veena Nagar 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mauricio Galizia 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Clayton Taylor 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
James Spain 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY

Zip 43210 · Medicare Physician

Name Address Specialty
Jennifer Gadawski 480 Medical Ctr Dr, Columbus, OH 43210-1229 NURSE PRACTITIONER
Megan Gropp 410 W Tenth Ave, Columbus, OH 43210 CERTIFIED REGISTERED NURSE ANESTHETIST
Lauren Goodman 460 W 10th Ave, Columbus, OH 43210-1240 PULMONARY DISEASE
Richard Bryant 410 W Tenth Ave, Columbus, OH 43210 ANESTHESIOLOGY
Renee Kovesci 410 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER
Robert Gould 410 W Tenth Ave, Columbus, OH 43210 ANESTHESIOLOGY
Justin Asquith 410 W 10th Ave, Columbus, OH 43210-1240 HOSPITALIST
Khalid Mumtaz 460 W 10th Ave, Columbus, OH 43210-1240 GASTROENTEROLOGY
Gregory Behbehani 460 W 10th Ave, Columbus, OH 43210-1240 HEMATOLOGY/ONCOLOGY
David Yehsakul 410 W Tenth Ave, Columbus, OH 43210 ANESTHESIOLOGY
Karen Jaske 1670 Upham Dr, Columbus, OH 43210-1250 NURSE PRACTITIONER
Sam Penza 410 W 10th Ave, Columbus, OH 43210-1240 HEMATOLOGY
Matthew Old 460 W 10th Ave, Columbus, OH 43210-1240 OTOLARYNGOLOGY
Adrian Suarez 410 W 10th Ave, Columbus, OH 43210-1228 PATHOLOGY
Mona Natwa 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Shannon Chakedis 460 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER
Bassam Shukrallah 410 W 10th Ave, Columbus, OH 43210-1228 CARDIAC SURGERY
Heidi Vickers 452 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER
Frances Charlene Horenstein 410 W 10th Ave, Columbus, OH 43210-1228 GASTROENTEROLOGY
Lindsay Miller 460 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER