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

Dr. Stephanie Joan Derusso, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1851779607

Dr. Stephanie Joan Derusso, DO is an Obstetrics/Gynecology in Tempe, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2015, 11 years ago. Practices with Momdoc LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2015
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1634 S Priest Dr Ste 101
Tempe, AZ 85281-6499
Phone: (480) 821-3600
Fax: (480) 345-2003
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 8163 (AZ)

Record details

NPI number1851779607
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressPo Box 6730, Chandler, AZ 85246-6730

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Momdoc Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tempe