Michael W Stava (NPI# 1053527408, PAC ID# 0648354639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053527408 |
| PAC ID by PECOS | 0648354639 |
| Professional Enrollment ID | I20081119000004 |
| Full Name | Michael W Stava |
| Organization Legal Name | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| Address |
3125 Hamilton Mason Rd Fairfield Township OH 45011-5307 |
| Phone Number | 5138948888 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6204732365 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360179 | BETHESDA NORTH |
| 360134 | GOOD SAMARITAN HOSPITAL |
| 360362 | TRIHEALTH EVENDALE HOSPITAL |
| 360051 | MIAMI VALLEY HOSPITAL |
| 360046 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 5138623710 | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 5132478800 | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 5138622611 | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| 379 Dixmyth Ave, Cincinnati, OH 45220-2475 | 5138623710 | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| 7777 Beechmont Ave, Cincinnati, OH 45255-4209 | 5133461000 | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 | 5138948888 | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| Organization Legal Name | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Moss Meranus | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Charles T Mcconnell | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Charles V Herfel | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Michael C Kreeger | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Scott J Owen | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Kimberly S Draud | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Steven Eric Kruis | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Rockford Jay Adkins Ii | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Kenneth Scott Byrdwell | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| William F Coughlin | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Street Address |
3125 HAMILTON MASON RD |
| City | FAIRFIELD TOWNSHIP |
| State | OH |
| Zip | 45011-5307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smith R Bearelly | Internal Medicine | Trihealth G LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| John Michae Mashny | Cardiovascular Disease (cardiology) | Trihealth G LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| James Moss Meranus | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Matthew H Recht | Vascular Surgery | Trihealth G LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| Charles T Mcconnell | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Masoud Jalilvand | Hospitalist | Trihealth G LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| Bryan Mccullough | Orthopedic Surgery | Trihealth G LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| Charles V Herfel | Diagnostic Radiology | Tristate Img (imaging Medical Group) Inc | 3125 Hamilton Mason Rd, Fairfield Township, OH 45011-5307 |
| Sathya Nagesparan | Hospitalist | Trihealth G LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| Andrew J Castellanos | Internal Medicine | Tri State Hospitalists LLC | 3125 Hamilton Mason Rd, Hamilton, OH 45011-5307 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivian Allen | Nurse Practitioner | Cg Medical Associates Inc | 1492 S Erie Blvd, Hamilton, OH 45011 |
| Rachael M Smith | Nurse Practitioner | Cg Medical Associates Inc | 1492 S Erie Blvd, Hamilton, OH 45011 |
| James Lance Murdock | Chiropractic | Hamilton Health Associates Inc | 6531 Winford Ave, Hamilton, OH 45011-0548 |
| Patrick L Murphy | Physical Therapy | Hamilton Health Associates Inc | 6531 Winford Ave, Hamilton, OH 45011-0548 |
| David D Schwartz | Psychologist, Clinical | 6531 Winford Ave, Fairfield Township, OH 45011-0548 | |
| Samir Ashokkumar Brahmbhatt | Nephrology | Nephrology Assoc. of Sw Ohio Inc. | 3090 Mcbride Ct B, Hamilton, OH 45011-0811 |
| Athina Patrick | Nurse Practitioner | Nephrology Assoc. of Sw Ohio Inc. | 3090 Mcbride Ct B, Hamilton, OH 45011-0811 |
| Ritche C Chiu | Nephrology | Nephrology Assoc. of Sw Ohio Inc. | 3090 Mcbride Ct B, Hamilton, OH 45011-0811 |
| Pius L Manavalan | Nephrology | Nephrology Assoc. of Sw Ohio Inc. | 3090 Mcbride Ct B, Hamilton, OH 45011-0811 |
| Bhupendra Hari Mahida | Nephrology | Nephrology Assoc. of Sw Ohio Inc. | 3090 Mcbride Ct B, Hamilton, OH 45011-0811 |
| Find all physicians in zip 45011 | |||
| City | FAIRFIELD TOWNSHIP |
| Zip Code | 45011 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FAIRFIELD TOWNSHIP + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael W Stava.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.