NPIMap

Organization Active NPI

Robert M. Stern MD Inc

  • Ophthalmology Physician
  • Westlake, OH
National Provider Identifier
1467592170
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35053230S Issued in OH
Legal business name
ROBERT M. STERN MD INC
Practice address
29101 Health Campus Dr
Suite 340
Westlake, OH 44145-5270
Phone
(440) 835-6255
Fax
(440) 899-4455
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Robert Martin Stern, M.D.
Title
President
Phone
(440) 835-6255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5305 OH
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 35053230S OH Primary

Addresses

Primary practice location

29101 Health Campus Dr
Suite 340
Westlake, OH 44145-5270

Mailing address

29101 Health Campus Dr
Suite 340
Westlake, OH 44145-5270
Phone (440) 835-6255

Other identifiers 1

IdentifierTypeStateIssuer
2549380MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1467592170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "SUITE 340",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-835-6255",
            "fax_number": "440-899-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "SUITE 340",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-835-6255",
            "fax_number": "440-899-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. STERN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-835-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5305",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35053230S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549380",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.