Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stacy Elizabeth Gustin, DO

Individual provider Family Medicine Physician · NPI 1265618136

Dr. Stacy Elizabeth Gustin, DO is a Family Practice in Phoenix, Arizona. Graduated from Mid West Medical College in 2005, 21 years ago. Practices with Honorhealth Medical Group, LLC, a 333-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
21
Trained at
Mid West Medical College
Licensed in
AZ
In the registry since
2008
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

4840 E Indian School Rd Ste 100
Phoenix, AZ 85018-5500
Phone: (480) 882-7360
Fax: (602) 952-9432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4643 (AZ)

Record details

NPI number1265618136
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 10, 2008
Last updated in NPPESSeptember 25, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 2005 (21 years in practice)
Group practice Honorhealth Medical Group, Llc — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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