STACY PAYNE ARDOIN MD NPI 1417971086

NPI Information

NPI: 1417971086
Provider Name: STACY PAYNE ARDOIN, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
555 S 18TH ST
COLUMBUS, OH
ZIP 43205
Phone: (614) 722-2000
Get Directions

Stacy Payne Ardoin, MD is a pediatric rheumatology pediatrics in Columbus, OH with 27 years of experience. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Stacy Payne Ardoin, MD NPI is 1417971086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

555 S 18TH ST
COLUMBUS, OH
ZIP 43205-654
Phone: (614) 722-2000

The NPI 1417971086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 2/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	35075002	OHIO	No
2	2080P0216X	Pediatrics	Pediatric Rheumatology	35075002	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H138151-OSU	OTHER	OHIO	CGS - MEDICARE
2	2246608	MEDICAID	OHIO
3	H138151	OTHER	OHIO	CGS - MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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