DR. MICHAEL W STAVA


Address: 10500 Montgomery Rd, Cincinnati, OH 45242-4402
Phone: 5135138651

DR. MICHAEL W STAVA (NPI# 1053527408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053527408
Entity Type Individual
Full Name DR. MICHAEL W STAVA
Credential MD
Practice Address 10500 Montgomery Rd
Cincinnati
OH 45242-4402
Mailing Address Po Box 42468
Cincinnati
OH 45242-0468
Practice Telephone 5135138651
Practice Fax Number 5139658091
Mailing Telephone 5139658041
Mailing Fax Number 5139658091
Enumeration Date 2007-05-15
Last Update Date 2014-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 33087 KY Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
35090809 OH Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
33087 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200934940 05
KY 64330673 05
OH 2698924 05

Office Location

Street Address 10500 MONTGOMERY RD
City CINCINNATI
State OH
Zip Code 45242-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386647261 Larissa Marie Kahle Physician Assistant 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2005-05-24
1881221943 Talia Kordahi Student in an Organized Health Care Education/Training Program 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2020-03-26
1598392664 Nathaniel Gastaldo Student in an Organized Health Care Education/Training Program 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2020-03-26
1205460813 Amanda Denise La Favers Nurse Anesthetist, Certified Registered 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2020-02-24
1629600028 Jonathan Woody Emergency Medicine 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2020-02-04
1326687872 Brandi Harris Nurse Anesthetist, Certified Registered 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2020-01-02
1134767908 Elizabeth Phillips Nurse Anesthetist, Certified Registered 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2019-12-12
1104464825 Megan Wilkins Nurse Anesthetist, Certified Registered 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2019-12-12
1508400946 Laura Rihm Miele Nurse Practitioner 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2019-10-29
1508408329 Alexander Christopher Gray Pharmacist 10500 Montgomery Rd, Cincinnati, OH 45242 2019-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578162533 D&c Enhanced Home Healthcare Agency Licensed Practical Nurse 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 2020-10-21
1487251088 Calvary Behavioral Health of Ohio, LLC Community/Behavioral Health 11974 State Route 42, Suite 240, Sharonville, OH 45242 2020-10-06
1093324352 Hotel California By The Sea Cincinnati, LLC. Substance Abuse Rehabilitation Facility 7745 Ivygate Lane, Cincinnati, OH 45242 2020-07-23
1265040554 Hotel California By The Sea Cincinnati, LLC. Substance Abuse Rehabilitation Facility 7172 Pfeiffer Road, Cincinnati, OH 45242 2020-07-22
1144838442 Hotel California By The Sea Cincinnati, LLC. Substance Abuse Rehabilitation Facility 10519 Cinderella Drive, Cincinnati, OH 45242 2020-07-22
1841836830 Alms Social Services Community/Behavioral Health 11071 Oak Avenue, Cincinnati, OH 45242 2019-11-25
1740839398 Vibrant Care LLC In Home Supportive Care 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 2019-09-06
1902368988 Twin Lakes Assisted Living Facility 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 2019-04-01
1215496344 Cathy L Rosenbaum Pharmacist 10274 Alliance Road, Blue Ash, OH 45242 2019-03-18
1841773181 Accelerated Rehabilitation Centers Ltd Physical Therapist 9856 Montgomery Rd #300, Cincinnati, OH 45242 2018-09-12
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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
1770995854 Proscan Womens Imaging At Redbank LLC Radiology 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 2014-05-23
1598024705 Professional Imaging & Teleradiology Services Radiology 9886 Humphrey Rd, Cincinnati, OH 45242-5445 2012-05-08
1275777435 Judith Karlen Stein Radiology 2211 Grandin Rd, Cincinnati, OH 45208-3307 2009-04-30
1609052000 Sean K Johnston Radiology 234 Goodman, Dept. of Radiology, Cincinnati, OH 45219 2008-01-15
1538370838 Matthew Fox Radiology 7672 Montgomery Rd # 237, Cincinnati, OH 45236-4204 2007-05-25
1083637706 James Kevin Hackett Radiology 2943 Eastern Ave, Cincinnati, OH 45226-1066 2006-07-25
1477586493 Kenneth N Hehman Md & Wm A Bramlage Md Inc Radiology 7800 E Kemper Rd, Suite 150, Cincinnati, OH 45249-1664 2006-07-10
1336179308 Deerfield Medical Imaging Radiology 9311 Mason Montgomery Road, Suite 102, Cincinnati, OH 45040 2006-07-04
1083667588 Stanley B Ignatow Radiology 546 Woodbrook Ln, Cincinnati, OH 45215-2513 2006-05-18
1649223223 Cincinnati Medical Imaging Radiology 8154 Montgomery Rd, Suite 102, Cincinnati, OH 45236-2968 2006-05-18
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Competitor

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City CINCINNATI
Zip Code 45242

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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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