Provider Demographics
NPI:1073576096
Name:STEARNS, JAY GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:GREGORY
Last Name:STEARNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3653
Mailing Address - Country:US
Mailing Address - Phone:508-862-5504
Mailing Address - Fax:508-790-3304
Practice Address - Street 1:460 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3653
Practice Address - Country:US
Practice Address - Phone:508-862-5504
Practice Address - Fax:508-790-3304
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA424422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA754171OtherTUFTS HEALTH PLAN
MA3046192Medicaid
MO103866OtherMAGELLAN BEHAVIORAL HEALT
MAJ20065OtherBLUE CROSS/ BLUE SHIELD
MA754171OtherTUFTS HEALTH PLAN
MAJ2006504Medicare PIN