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Contact Information

STACY P ARDOIN, MD
555 S 18TH ST
COLUMBUS, OH43205-2654
 Phone: 614-722-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STACY P ARDOIN · (Female)

NPI # 1417971086
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 02/27/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 35075002
  • OH Medicaid 2246608
  • OH Other H138151 CGS - MEDICARE
  • OH Other H138151-OSU CGS - MEDICARE
Hospital affiliation(s)
  • OHIO STATE UNIVERSITY HOSPITALS - (Acute Care)
    410 WEST 10TH AVENUE
    COLUMBUS, OH 43210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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