Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan D Stathulis, MD

Individual provider Family Medicine Physician · NPI 1215904180

Evan D Stathulis, MD is a Family Practice in Gahanna, Ohio. Graduated from Ohio State University College of Medicine in 1992, 34 years ago. Practices with Gahanna Physical Therapy Limited Partnership, a 75-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
34
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 Buckles Ct N Ste 100
Gahanna, OH 43230
Phone: (614) 471-9654
Fax: (614) 392-4586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-065900 (OH)

Record details

NPI number1215904180
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 1, 2006
Last updated in NPPESNovember 21, 2018
Mailing address725 Buckles Court North, Suite 100, Gahanna, OH 43230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Gahanna Physical Therapy Limited Partnership — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Gahanna