Provider Demographics
NPI:1558447342
Name:STURM, JULIE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:STURM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N HWY 67
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031
Mailing Address - Country:US
Mailing Address - Phone:314-838-0300
Mailing Address - Fax:314-838-4682
Practice Address - Street 1:900 N HWY 67
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031
Practice Address - Country:US
Practice Address - Phone:314-838-0300
Practice Address - Fax:314-838-4682
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004023012207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7070749OtherAETNA
P00223762OtherRAILROAD MEDICARE
6503981OtherCIGNA
12156OtherESSENCE HEALTHCARE
117158OtherMERCY HEALTH PLANS
MO3012OtherEYEMED VISION CARE
O08264OtherEXCLUSIVE CHOICE FMH BENE
199154OtherBCBS
2523794OtherUNITED HEALTHCARE
54800OtherCOORDINATED VISION CARE
32482OtherOPTICARE EYE HEALTH NETWO
714080OtherHEALTHLINK
238296OtherGROUP HEALTH PLAN
6503981OtherCIGNA