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

Johnathon Douglas Stephens, MD

Individual provider Diagnostic Radiology Physician · NPI 1568812410

Johnathon Douglas Stephens, MD is a Diagnostic Radiology in Peoria, Illinois. Qualified in 2016, 10 years ago. Practices with Geisinger-Hm Joint Venture LLC, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6106 — (617) 732-6506

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 125.069543 (IL)

Record details

NPI number1568812410
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESFebruary 21, 2021
Certification dateFebruary 21, 2021
Mailing address1301 W Jefferson St Apt 28c, Morton, IL 61550-1358

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Geisinger-Hm Joint Venture Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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