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

Stacy L Scudder

Individual provider Pediatrics Physician · NPI 1598707515

Stacy L Scudder is a Pediatric Medicine in Canal Winchester, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 1997, 29 years ago. Practices with Central Ohio Primary Care Physicians, Inc, a 487-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

6201 Gender Rd
Canal Winchester, OH 43110-2007
Phone: (614) 834-8042
Fax: (614) 837-8035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 34.007025 (OH)

Record details

NPI number1598707515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 19, 2010
Mailing address6201 Gender Rd, Canal Winchester, OH 43110-2007

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Central Ohio Primary Care Physicians, Inc. — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canal Winchester