Individual
STACY PAYNE ARDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
35075002
OH
2080P0216X
Pediatric Rheumatology Physician
Primary
35075002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2246608
—
OH
01
—
H138151
CGS - MEDICARE
OH
01
—
H138151-OSU
CGS - MEDICARE
OH
Enumeration date
07/27/2006
Last updated
02/27/2026
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