Individual provider Active NPI

Marc Francis Stern, MD, MPH

  • Internal Medicine Physician
  • Olympia, WA
National Provider Identifier
1275863185
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00041843 Issued in WA
Practice address
413 Franklin St NE
Olympia Union Gospel Mission
Olympia, WA 98501-6946
Phone
(360) 357-6505
NPI assigned
Dec 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00041843 WA Primary

Addresses

Primary practice location

413 Franklin St NE
Olympia Union Gospel Mission
Olympia, WA 98501-6946

Mailing address

413 Franklin St NE
Union Gospel Mission Clinic
Olympia, WA 98501-6946
Phone (360) 357-6505

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

LicenseStateTypeSpecialty
MD00041843WAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1275863185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 FRANKLIN ST NE",
            "address_2": "UNION GOSPEL MISSION CLINIC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985016946",
            "telephone_number": "360-357-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 FRANKLIN ST NE",
            "address_2": "OLYMPIA UNION GOSPEL MISSION",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985016946",
            "telephone_number": "360-357-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "MARC",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00041843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.