Active NPI
Wayne L Stern, M.D.
- Pulmonary Disease Physician
- Minneapolis, MN
National Provider Identifier
1659391902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 19602
- Practice address
- 920 E 28TH St
Suite 700
Minneapolis, MN 55407-1139 - Phone
- (612) 863-9062
- Fax
- (612) 863-9252
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 19602 | MN | Primary |
Addresses
Primary practice location
920 E 28TH St
Suite 700
Minneapolis, MN 55407-1139
Mailing address
920 E 28TH St
Suite 700
Minneapolis, MN 55407-1139
Phone (612) 863-9062
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 |
|---|---|---|---|
| 19602 | MN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Lung Center LTD | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Pulmonary Disease Physician
- Minneapolis, MN
- NPI 1184655813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1659391902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 E 28TH ST",
"address_2": "SUITE 700",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071139",
"telephone_number": "612-863-9062",
"fax_number": "612-863-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 E 28TH ST",
"address_2": "SUITE 700",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071139",
"telephone_number": "612-863-9062",
"fax_number": "612-863-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "WAYNE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "19602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.