Stacy L Scudder

Pediatrics | Female

Stacy L Scudder is a Canal Winchester, Ohio based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Stacy L Scudder is 6201 Gender Rd, Canal Winchester, Ohio - 43110-2007. She can be contacted on phone at 614-834-8042 and fax number 614-837-8035. Stacy L Scudder is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacy L Scudder is 1598707515 which was assigned by NPPES on 12 Jun, 2006 and it was last updated on 19 Jan, 2010. Stacy L Scudder license number is 34.007025 for Pediatrics (208000000X) in Ohio.
Stacy L Scudder is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stacy L Scudder basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Stacy L Scudder
Gender :Female
Business Address:
Stacy L Scudder address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :6201 Gender Rd
Canal Winchester, OH, 43110-2007
United States
Phone Number :614-834-8042
Fax Number :614-837-8035
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1598707515
NPI Entity Type : Individual
First Enrolment Date : 12 Jun, 2006
Last Updated On : 19 Jan, 2010
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy L Scudder are as mentioned. Primary taxonomy code for Stacy L Scudder is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes34.007025OH
Legacy Identifiers:
Other legacy medical identifiers of Stacy L Scudder such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
2191748MEDICAIDOH
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :6201 Gender Rd
Canal Winchester, OH, 43110-2007
United States
Phone Number :614-834-8042
Fax Number :614-837-8035
Business Location:
Patients can refer following map for directions to Stacy L Scudder practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.