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

Stacie Dyan Anderson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1790079812

Stacie Dyan Anderson, DPM is a Podiatry in Parma, Ohio. Graduated from Kent State University College of Podiatric Medicine in 2009, 17 years ago. Practices with Jeffrey A. Halpert DPM LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5625 Ridge Rd
Parma, OH 44129-2633
Phone: (440) 884-4100
Fax: (440) 884-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 36.003622 (OH)

Record details

NPI number1790079812
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 6, 2011
Last updated in NPPESJune 6, 2012

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Jeffrey A. Halpert Dpm Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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