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

Individual provider Anesthesiology Physician · NPI 1922322486

Dr. Mark Allen Stacy, DO is an Anesthesiology in Indianapolis, Indiana. Qualified in 2009, 17 years ago. Practices with Anesthesia Associates of Boise, PA, a 182-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Licensed in
IN
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3630 Guion Rd
Indianapolis, IN 46222-1616
Phone: (317) 920-7280
Fax: (317) 920-7284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 11015131A (IN)

Record details

NPI number1922322486
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 26, 2010
Last updated in NPPESMarch 26, 2010

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Anesthesia Associates Of Boise, P.A. — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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