Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sarah J Kudelko, PA-C

Individual provider Physician Assistant · NPI 1508062712

Mrs. Sarah J Kudelko, PA-C is a Physician Assistant in Boardman, Ohio. Qualified in 2005, 21 years ago. Practices with Optima Dermatology LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
21
Licensed in
OH, PA
In the registry since
2007
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

987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone: (330) 965-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.002330 (OH)
Physician Assistant Taxonomy 363A00000X · Licence MA052535 (PA)

Record details

NPI number1508062712
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESApril 3, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boardman