Scott J Owen (NPI# 1164421616, PAC ID# 6507823515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1164421616 |
| PAC ID by PECOS | 6507823515 |
| Professional Enrollment ID | I20041210000891 |
| Full Name | Scott J Owen |
| Organization Legal Name | TRISTATE IMG (IMAGING MEDICAL GROUP) INC |
| Address |
375 Dixmyth Ave Cincinnati OH 45220-2475 |
| Phone Number | 5138622611 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| 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 |
| 360046 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL |
| 360003 | UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC |
| Address | Phone | Organization |
|---|---|---|
| 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 5138622611 | 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 |
| Michael W Stava | 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 |
| 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 |
375 DIXMYTH AVE |
| City | CINCINNATI |
| State | OH |
| Zip | 45220-2475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Rekos | Nurse Practitioner | Healogics Specialty Physicians of Ohio, LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Juan C Mejia | Hospitalist | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Silvania C Ng | Internal Medicine | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Kimberlee Slusher | Nurse Practitioner | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Misty D Keeton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group Practice Inc | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Margo Reed | Nurse Practitioner | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Jack B Basil | Gynecological Oncology | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| David W Lipke | Anesthesiology | Anesthesia Group Practice Inc | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Molly E Adams | Nurse Practitioner | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| David James Draper | Hematology/oncology | Trihealth G LLC | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Galina Krayterman | Internal Medicine | Midwest Hospitalists Inc | 440 Lafayette Ave, Cincinnati, OH 45220-1022 |
| Lynn Suzanne Rapin | Psychologist, Clinical | 4022 Clifton Ridge Dr, Cincinnati, OH 45220-1144 | |
| Ellen O Bierhorst | Psychologist, Clinical | 3901 Clifton Ave, Cincinnati, OH 45220-1145 | |
| Martha E Mcleod | Clinical Social Worker | 211 Woolper Ave, Cincinnati, OH 45220-1217 | |
| Claudia L Wright | Certified Clinical Nurse Specialist (cns) | 3268 Jefferson Ave, Cincinnati, OH 45220-2220 | |
| Binh Nguyen | Plastic and Reconstructive Surgery | Trihealth G LLC | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Gretchen Suarez | Internal Medicine | Trihealth G LLC | 375 Dixmyth Ave C, Cincinnati, OH 45220-2475 |
| Lynn A Gronbach | Family Medicine | Trihealth G LLC | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Muhammad Yaseen | Hospitalist | Trihealth G LLC | 375 Dixmyth Ave C, Cincinnati, OH 45220-2475 |
| Stephen Louis Sanker | Family Medicine | Trihealth G LLC | 379 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Find all physicians in zip 45220 | |||
| City | CINCINNATI |
| Zip Code | 45220 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CINCINNATI + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Scott J Owen.
| 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.