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

Individual provider Physician Assistant · NPI 1396254009

Stacy Edgar, PA-C is a Physician Assistant in Marietta, Ohio. Practices as a sole proprietor. Licensed in Indiana, Ohio, South Carolina and Virginia.

Licensed in
IN, OH, SC, VA
In the registry since
2017
Specialties on file
4
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

401 Matthew St
Marietta, OH 45750-1635
Phone: (740) 376-1939
Fax: (740) 374-1693
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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 50.007774RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 3013 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0110007485 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10002314A (IN)

Record details

NPI number1396254009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 26, 2017
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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