Active NPI
Stephen Justice, MD
- Family Medicine Physician
- Sidney, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5074
- Practice address
- 1205 Fairington Dr
Sidney, OH 45365-8144 - Phone
- (937) 492-8431
- Fax
- (937) 498-5126
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5074 | OH | Primary |
Addresses
Primary practice location
1205 Fairington Dr
Sidney, OH 45365-8144
Mailing address
1205 Fairington Dr
Sidney, OH 45365-8144
Phone (937) 492-8431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2178996 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephen.justice@wilsonhospital.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 Fairington Dr
Sidney, OH 45365-8144
Phone 93749284310000
Hospital & facility affiliations
- Wilson Home Health Care
- Kettering Homecare
- Fidelity Health Care
- Wilson Memorial Hospital
- Upper Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.07 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5074 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Care, LLC | Family Medicine | Current | Accepting new patients |
| Wilson Urgent Care | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
104 Diamond Dr
Anna, OH 45302
Phone (937) 394-2900
111 E Lynn St
Botkins, OH 45306
Phone (937) 693-1541
11531 State Route 66
Minster, OH 45865
Phone (937) 295-2949
915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311
915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049
1079 Fairington Dr
Sidney, OH 45365
Phone (937) 419-8015
915 Michigan St
Ste 204
Sidney, OH 45365
Phone (419) 996-5224
750 S 4th Ave
Sidney, OH 45365
Phone (937) 419-8020
1205 Fairington Dr
Sidney, OH 45365
Phone (937) 492-8431
661 N Vandemark Rd
Sidney, OH 45365
Phone (937) 419-5010
Interoperability endpoints
- sjustice1537808@direct.osumc.edu
- https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Wilson Health Medical Group
- Family Medicine Physician
- Sidney, OH
- NPI 1205886926
-
- Urgent Care Clinic/Center
- Sidney, OH
- NPI 1568754653
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
dba Wilson Health
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1023014966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 FAIRINGTON DR",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658144",
"telephone_number": "937-492-8431",
"fax_number": "937-498-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 FAIRINGTON DR",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658144",
"telephone_number": "937-492-8431",
"fax_number": "937-498-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "5074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2178996",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephen.justice@wilsonhospital.medicity.net",
"affiliation": "N",
"address_1": "1205 Fairington Dr",
"city": "Sidney",
"state": "OH",
"country_code": "US",
"postal_code": "453658144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.