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

Mr. Steven R Bouyack, PA-C

Individual provider Physician Assistant · NPI 1609379809

Mr. Steven R Bouyack, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8714
Fax: (614) 293-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1010 Refugee Rd, Pickerington, OH 43147-9653 — (614) 566-8883

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005428RX (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.005428RX (OH)

Record details

NPI number1609379809
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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