Provider Demographics
NPI:1083639439
Name:STERN, THOMAS P (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16507 NORTHCROSS DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5082
Mailing Address - Country:US
Mailing Address - Phone:704-248-0000
Mailing Address - Fax:877-335-8171
Practice Address - Street 1:16507 NORTHCROSS DR
Practice Address - Street 2:SUITE F
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5082
Practice Address - Country:US
Practice Address - Phone:704-248-0000
Practice Address - Fax:877-973-1761
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200401440207RC0200X, 207RS0012X, 208000000X, 2080S0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1387EOtherNCBCBS
SCN01440Medicaid
NC5901121Medicaid
NC2035459AMedicare PIN
SCN01440Medicaid
NC5901121Medicaid
NCP00382317Medicare PIN