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

Stacey Mardis, MD

Individual provider Emergency Medicine Physician · NPI 1144532730

Stacey Mardis, MD is an Emergency Medicine in Elyria, Ohio. Qualified in 2009, 17 years ago. Practices with Piedmont Triad Physicians PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 E River St Dept OF Emergency Medicine
Elyria, OH 44035-5902
Phone: (440) 329-7450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.121170 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.121170 (OH)

Record details

NPI number1144532730
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 12, 2010
Last updated in NPPESJuly 1, 2013

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Piedmont Triad Physicians Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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