Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stacey Dianne Sassaman, MD

Individual provider Family Medicine Physician · NPI 1902423890

Dr. Stacey Dianne Sassaman, MD is an Obstetrics/Gynecology in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3008
Fax: (215) 707-1387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD489471 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT221915 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 00000000000000000000 (PA)

Record details

NPI number1902423890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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