MEDICARE: STACY ALLEN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	50.007953RX	OH

General Provider Information

NPI Number	:	1548970247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY ALLEN PA-C

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-8315
Fax Number	:	614-293-6935

Provider Business Practice Location Address
First Line	:	1145 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3117
Country	:	US
Telephone Number	:	614-293-8315
Fax Number	:	614-293-6935

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	01/26/2026

Similar Medicare Providers

1891113759 — ASHLEY PARISER DAVENPORT M.D.
Practice Location Address:

1145 OLENTANGY RIVER RD FL 3
COLUMBUS, OH
43212-3117

Practice Phone: 614-293-5066
Practice Fax: 614-293-9449

1538689682 — DR. KAI CONRAD CECIL JOHNSON MD
Practice Location Address:

1145 OLENTANGY RIVER RD
COLUMBUS, OH
43212-3117

Practice Phone: 614-293-5066
Practice Fax: 614-293-9449

1093711988 — KATHLEEN B. ROGERS APRN.CNP
Practice Location Address:

1145 OLENTANGY RIVER RD
COLUMBUS, OH
43212-3117

Practice Phone: 614-293-0066
Practice Fax: 614-293-7264

1679565873 — ADELE M LIPARI DO
Practice Location Address:

1145 OLENTANGY RIVER RD
COLUMBUS, OH
43212-3117

Practice Phone: 614-293-8315
Practice Fax: 614-293-6935

1740247816 — DOREEN M AGNESE MD
Practice Location Address:

1145 OLENTANGY RIVER RD
COLUMBUS, OH
43212-3117

Practice Phone: 614-293-4040
Practice Fax: 614-293-3465

1528019841 — DR. WILLIAM E. CARSON III MD
Practice Location Address:

1145 OLENTANGY RIVER RD , THIRD FLOOR
COLUMBUS, OH
43212-3117

Practice Phone: 614-293-4040
Practice Fax: 614-293-3465

Directions to “ STACY ALLEN PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.