Provider Demographics
NPI:1528042918
Name:STERN, STEVEN H (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:H
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-583-5836
Mailing Address - Fax:502-583-2266
Practice Address - Street 1:100 E LIBERTY ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1434
Practice Address - Country:US
Practice Address - Phone:502-583-5836
Practice Address - Fax:502-583-2266
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY25564207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200054330Medicaid
KY660002909OtherRAILROAD MEDICARE
KY000000075272OtherANTHEM BCBS
KY1108490OtherPASSPORT
KYKY7515POtherSIHO
KY64255649Medicaid
KYKY7515POtherSIHO
KY0691001Medicare PIN