Active NPI
Eric Louis Stern, MD
- Pulmonary Disease Physician
- Missoula, MT
National Provider Identifier
1568666006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MED-PHYS-LIC-18554
- Practice address
- 900 N Orange St Ste 106
Missoula, MT 59802-2951 - Phone
- (406) 327-3100
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-114599 | IL | |
| Pulmonary Disease Physician | 207RP1001X | MED-PHYS-LIC-18554 | MT | Primary |
Addresses
Primary practice location
900 N Orange St Ste 106
Missoula, MT 59802-2951
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (866) 747-2455
Other practice location 1
2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Phone (312) 451-3498
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | estern867785@wm.providencedirect.org |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-114599 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1568666006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N ORANGE ST STE 106",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022951",
"telephone_number": "406-327-3100"
}
],
"practiceLocations": [
{
"address_1": "2151 Waukegan Rd",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Bannockburn",
"state": "IL",
"postal_code": "600151885",
"country_code": "US",
"telephone_number": "312-451-3498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERN",
"first_name": "ERIC",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-114599",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MT",
"license": "MED-PHYS-LIC-18554",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "estern867785@wm.providencedirect.org",
"affiliation": "N",
"address_1": "900 N Orange St Ste 106",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598022951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.