Stephanie Lynn Fisher Gustin, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

28505 Issued in NE

Practice address

7308 S 142ND St
Omaha, NE 68138-6804

Phone

(402) 717-4200

Fax

(402) 717-4231

NPI assigned

Oct 31, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartland Center for Reproductive Medicine

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1295890176
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1013243740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386804",
            "telephone_number": "402-717-4200",
            "fax_number": "402-717-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386804",
            "telephone_number": "402-717-4200",
            "fax_number": "402-717-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN FISHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "28505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Gustafson
• Karen M Gustafson, LMHP
• Ariel Gustavson
• Jodi Lynn Gustin, OTR/L
• Lisa Gustin
• Zachary Tomulty Gustin, M.D.
• Brandy Kay Gustoff, MS, LMHP, PLADC
• Lanette M Guthmann, M.D.
• Sally J Guthmiller, PA
• William Brett Guthmiller, DO

• Obstetrics & Gynecology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.