Active NPI
Kathleen Shirley Stern, M.D.
- Ophthalmology Physician
- Memphis, TN
National Provider Identifier
1275842197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35.087439
- Practice address
- 655 S Riverside Dr Apt 1103
Memphis, TN 38103-4615 - Phone
- (706) 564-4308
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35.087439 | OH | Primary |
Addresses
Primary practice location
655 S Riverside Dr Apt 1103
Memphis, TN 38103-4615
Mailing address
655 S Riverside Dr Apt 1103
Memphis, TN 38103-4615
Phone (706) 564-4308
Other practice location 1
440 Whitman Ct
Cincinnati, OH 45202-1871
Phone (706) 564-4308
Other practice location 2
6630 Summer Knoll Cir Ste 101
Bartlett, TN 38134
Phone (901) 746-9438
Other practice location 3
6630 Summer Knoll Cir Ste 101
Bartlett, TN 38134
Phone (901) 746-9438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.087439 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeon PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- New York, NY
- NPI 1477635993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1275842197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S RIVERSIDE DR APT 1103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381034615",
"telephone_number": "706-564-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S RIVERSIDE DR APT 1103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381034615",
"telephone_number": "706-564-4308"
}
],
"practiceLocations": [
{
"address_1": "440 Whitman Ct",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452021871",
"country_code": "US",
"telephone_number": "706-564-4308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6630 Summer Knoll Cir Ste 101",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "38134",
"country_code": "US",
"telephone_number": "901-746-9438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6630 Summer Knoll Cir Ste 101",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "38134",
"country_code": "US",
"telephone_number": "901-746-9438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERN",
"first_name": "KATHLEEN",
"middle_name": "SHIRLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35.087439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.