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

Stacey Mardis, MD

Individual provider Emergency Medicine Physician · NPI 1144532730

Stacey Mardis, MD is an Emergency Medicine in Elyria, Ohio. Qualified in 2009, 17 years ago. Practices with Piedmont Triad Physicians PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2010
Specialties on file
2
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

630 E River St Dept OF Emergency Medicine
Elyria, OH 44035-5902
Phone: (440) 329-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.121170 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.121170 (OH)

Record details

NPI number1144532730
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 12, 2010
Last updated in NPPESJuly 1, 2013
Mailing address630 E River St, Department Of Emergency Medicine, Elyria, OH 44035-5902

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Piedmont Triad Physicians Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elyria