Individual provider Active NPI

Stephanie E. Ladson-Wofford, M.D.

  • Nephrology Physician
  • Westerville, OH
National Provider Identifier
1689673329
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35057852 Issued in OH
Practice address
595 Copeland Mill Rd
Suite 2D
Westerville, OH 43081-8908
Phone
(614) 823-8500
Fax
(614) 823-8501
NPI assigned
Jul 15, 2005
Last updated
Jul 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35057852 OH Primary

Addresses

Primary practice location

595 Copeland Mill Rd
Suite 2D
Westerville, OH 43081-8908

Mailing address

1272 W Main St
Doctors Park BLDG 5
Newark, OH 43055-2004
Phone (740) 348-0003

Other identifiers 1

IdentifierTypeStateIssuer
0757453MedicaidOH

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
I20040415000257 OH Practitioner - Nephrology 4789679267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Specialists, Inc.Group PAC ID 7719871474, 8 clinicians

Practice addresses (Care Compare)

1272 W Main St
Doctors Park BLDG 5
Newark, OH 43055-2004
Phone (740) 348-0003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057852OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists, Inc. Nephrology CurrentSince Sep 1, 2004 Accepting new patients
Everest Healthcare Ohio, Inc. Past Accepting new patients

Locations

1299 Olentangy River Rd
Ste 100
Columbus, OH 43212
Phone (614) 294-5757

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

6465 E Broad St
Columbus, OH 43213
Phone (614) 823-8500

750 Mount Carmel Mall
#380
Columbus, OH 43222
Phone (614) 823-8500

1550 Sheridan Dr
#103
Lancaster, OH 43130
Phone (740) 475-0058

1550 Sheridan Dr
Ste 206
Lancaster, OH 43130
Phone (740) 689-0566

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

1960 Tamarack Rd
Newark, OH 43055
Phone (740) 344-8687

495 Cooper Rd
Ste 425
Westerville, OH 43081
Phone (614) 895-4980

595 Copeland Mill Rd
Ste 2D
Westerville, OH 43081
Phone (614) 823-8500

Interoperability endpoints

  • Direct secure messaging: sladsonwofford27958@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1689673329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W MAIN ST",
            "address_2": "DOCTORS PARK BLDG 5",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552004",
            "telephone_number": "740-348-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 COPELAND MILL RD",
            "address_2": "SUITE 2D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818908",
            "telephone_number": "614-823-8500",
            "fax_number": "614-823-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADSON-WOFFORD",
        "first_name": "STEPHANIE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35057852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757453",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.