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STACEY J.P. MEMBERG MD
NPI 1235235003
Pediatrics in Medina, OH

Active since September 16, 2006
4015 MEDINA RD STE 50, MEDINA, OH 44256(330) 723-7005(330) 723-4854 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey J.p. Memberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY J.P. MEMBERG MD (NPI 1235235003) is an individual pediatrics provider in Medina, Ohio, licensed in Ohio (35077164) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1235235003
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACEY J.P. MEMBERGCredential: MD
Location Address4015 MEDINA RD STE 50Medina, OH 44256-5970
Mailing AddressPo Box 8792Belfast, ME 04915-8792 · (300) 723-7005 · Fax (330) 723-4854
Phone(330) 723-7005
Fax(330) 723-4854
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 26, 2011
✔ NPI 1235235003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35077164
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4015 MEDINA RD STE 50, Medina, OH 44256
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Other Identifiers 1

Medicaid2196565OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYMETRIA HEALTH OF OHIO, L.L.C.
Clinic/Center (Rehabilitation, Substance Use Disorder)
4015 MEDINA RD STE 50
MEDINA, OH 44256
Medina County (888) 782-6966
BARBARA J STEINER CNP
Pediatrics
4015 MEDINA RD STE 50
MEDINA, OH 44256
Medina County (216) 383-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Memberg's NPI number?

The NPI number for Stacey Memberg is 1235235003. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Stacey Memberg located?

Stacey Memberg practices at 4015 Medina Rd Ste 50, Medina, OH 44256. The listed phone number is (330) 723-7005.

What is Stacey Memberg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Stacey Memberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Stacey Memberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Memberg was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.