Individual provider Active NPI

Stacy L Morran, MD

  • Pediatrics Physician
  • Dublin, OH
National Provider Identifier
1205816220
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35077588M Issued in OH
Practice address
CCP, LLC, Dba Hand in Hand Pediatrics
6051 Memorial Drive
Dublin, OH 43017
Phone
(614) 799-6044
Fax
(614) 799-6088
NPI assigned
Jan 17, 2006
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35077588M OH Primary

Addresses

Primary practice location

CCP, LLC, Dba Hand in Hand Pediatrics
6051 Memorial Drive
Dublin, OH 43017

Mailing address

CCP, LLC, Dba Hand in Hand Pediatrics
6051 Memorial Drive
Dublin, OH 43017
Phone (614) 799-6044

Other identifiers 1

IdentifierTypeStateIssuer
2447589MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124001868 OH Practitioner - Pediatric Medicine 1557796331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35077588MOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Community Practices, LLC Pediatrics CurrentSince Dec 3, 2019 Accepting new patients

Locations

1264 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-6801

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

6051 Memorial Dr
Dublin, OH 43017
Phone (614) 799-6044

100 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-7600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1205816220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CCP, LLC, DBA HAND IN HAND PEDIATRICS",
            "address_2": "6051 MEMORIAL DRIVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-799-6044",
            "fax_number": "614-799-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CCP, LLC, DBA HAND IN HAND PEDIATRICS",
            "address_2": "6051 MEMORIAL DRIVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-799-6044",
            "fax_number": "614-799-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRAN",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35077588M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.