Provider Demographics
NPI:1831242395
Name:HIGHLAND PHYSICIANS, LTD
Entity type:Organization
Organization Name:HIGHLAND PHYSICIANS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:K
Authorized Official - Last Name:STERNBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-251-6500
Mailing Address - Street 1:66 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NARROWSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12764-6001
Mailing Address - Country:US
Mailing Address - Phone:845-252-6677
Mailing Address - Fax:845-252-7127
Practice Address - Street 1:66 5TH ST
Practice Address - Street 2:
Practice Address - City:NARROWSBURG
Practice Address - State:NY
Practice Address - Zip Code:12764-6001
Practice Address - Country:US
Practice Address - Phone:845-252-6677
Practice Address - Fax:845-252-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW5R652Medicare ID - Type UnspecifiedEMPIRE MC GROUP #