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

Stacey J Sullivan, MD

Individual provider Family Medicine Physician · NPI 1447284088

Stacey J Sullivan, MD is a Family Practice in Scottsdale, Arizona. Graduated from Rutgers New Jersey Medical School in 2001, 25 years ago. Practices with Salt River Pima-Maricopa Indian Community, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
25
Trained at
Rutgers New Jersey Medical School
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9070 E Desert Cove Ave Ste A102
Scottsdale, AZ 85260-6227
Phone: (480) 553-6168
Fax: (480) 590-6235
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 16635 N 43rd Ave, Phoenix, AZ 85053-2707 — (602) 588-0316

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32083 (AZ)

Record details

NPI number1447284088
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 5, 2022
Certification dateJuly 1, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Salt River Pima-Maricopa Indian Community — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scottsdale