Provider Demographics
NPI:1790780567
Name:STEARNS, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
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 1:3372 WALTER RD
Mailing Address - Street 2:
Mailing Address - City:ROBARDS
Mailing Address - State:KY
Mailing Address - Zip Code:42452-9365
Mailing Address - Country:US
Mailing Address - Phone:270-826-5100
Mailing Address - Fax:270-826-3644
Practice Address - Street 1:110 3RD ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2993
Practice Address - Country:US
Practice Address - Phone:270-826-5100
Practice Address - Fax:270-826-3644
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14843207W00000X
IN01031657207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100014440Medicaid
000000476835OtherBC/BS ANTHEM
KY64148430Medicaid
C70316Medicare UPIN
KY0759402Medicare ID - Type UnspecifiedAEA
000000476835OtherBC/BS ANTHEM