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

Jordan W Stuckey, MD

Individual provider Anesthesiology Physician · NPI 1205983012

Jordan W Stuckey, MD is an Anesthesiology in Defiance, Ohio. Graduated from Georgetown University School of Medicine in 2005, 21 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
21
Trained at
Georgetown University School of Medicine
Licensed in
OH
In the registry since
2007
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

1200 Ralston Ave Dept OF Surgery
Defiance, OH 43512-1396
Phone: (419) 783-6944
Fax: (419) 783-4416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 35094500 (OH)

Record details

NPI number1205983012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESNovember 3, 2023
Mailing address1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512-1396

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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