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

Sarah Ellsworth Dudley, PA-C

Individual provider Physician Assistant · NPI 1124599451

Sarah Ellsworth Dudley, PA-C is a Physician Assistant in Kettering, Ohio. Qualified in 2018, 8 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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

3700 Southern Blvd Ste 300
Kettering, OH 45429-1265
Phone: (937) 643-9299
Fax: (937) 643-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 30 E Apple St Ste 5254, Dayton, OH 45409 — (937) 208-4200
  • 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 — (937) 208-4200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124599451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Kettering