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
Arpit Nagar 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Chiemezie Amadi 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Joel Fritz 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Xuan Nguyen 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mitva Patel 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Daniel Boulter 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Joshua Orwig 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Adele Lipari 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Alan Rogers 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Bradley Gans 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
William Bennett 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Michael Luttrull 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Lindsay Wright 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Eric Elliott 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Joseph Yu 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Eric Bourekas 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Gregory Guy 395 W 12th Ave Rm, Columbus, OH 43210-1267 INTERVENTIONAL RADIOLOGY
Suraj Waikhom 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mona Natwa 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Cathleen Hendershot 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY

Zip 43210 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Mohammad Shujaat 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
Amna Ajam 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Hooman Khabiri 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Michael Barrows 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Donald Chakeres 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Veena Nagar 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Nidhi Krishna 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Gehan Ibrahim 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Suraj Waikhom 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Joel Fritz 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mona Natwa 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Trenton Rink 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Young Choy 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Gretchen Cordero 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Lindsay Wright 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
James Spain 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Clayton Taylor 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mauricio Galizia 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
James Laffey 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY

Zip 43210 · Medicare Physician

Name Address Specialty
James Young 1670 Upham Dr, Columbus, OH 43210-1250 PSYCHIATRY
Joseph Yu 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Cheryl Lee 460 W 10th Ave, Columbus, OH 43210-1240 UROLOGY
Jamal Al Taani 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Roanne Flom 338 W Tenth Ave, Columbus, OH 43210-1280 OPTOMETRY
Jyoti Pandya 410 W Tenth Ave, Columbus, OH 43210 ANESTHESIOLOGY
Margaret Fruth 452 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER
Konstantinos Boudoulas 410 W 10th Ave, Columbus, OH 43210-1240 INTERVENTIONAL CARDIOLOGY
Maria Patterson 452 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER
June Hinkle 410 W 10th Ave, Columbus, OH 43210-1240 NURSE PRACTITIONER
Ravi Tripathi 410 W Tenth Ave, Columbus, OH 43210 ANESTHESIOLOGY
Ali Rikabi 395 W 12th Ave Rm, Columbus, OH 43210-1267 INTERVENTIONAL RADIOLOGY
Chiemezie Amadi 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Mohammedreza Niktash 410 W Tenth Ave, Columbus, OH 43210 EMERGENCY MEDICINE
Gretchen Luidens 1670 Upham Dr, Columbus, OH 43210-1250 CLINICAL SOCIAL WORKER
James Spain 395 W 12th Ave Rm, Columbus, OH 43210-1267 DIAGNOSTIC RADIOLOGY
Andrew Thomas 410 W Tenth Ave, Columbus, OH 43210 INTERNAL MEDICINE
Kevin Hackshaw 410 W 10th Ave, Columbus, OH 43210-1240 RHEUMATOLOGY
Andrew Toole 338 W Tenth Ave, Columbus, OH 43210-1280 OPTOMETRY
John Davis 452 W 10th Ave, Columbus, OH 43210-1240 INFECTIOUS DISEASE