Active NPI
Timothy Lamon Sternberg, M.D., D.M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME69375
- Practice address
- 2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233 - Phone
- (904) 264-8801
- Fax
- (904) 621-0566
- NPI assigned
- Mar 29, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME69375 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME69375 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME69375 | FL | Primary |
Addresses
Primary practice location
2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233
Mailing address
705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00071130 | Other | FL | RAILROAD MEDICARE |
| 2649501-00 | Medicaid | FL | |
| 614436071A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME69375 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Interventional Pain Medicine | Current | Accepting new patients |
| Physicians Group Services PA | Interventional Pain Medicine | Current | Accepting new patients |
| Physicians Group Services PA | Past | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083
2700 Riverside Ave
Ste 2
Jacksonville, FL 32205
Phone (904) 264-8801
280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906
7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244
705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474
1564 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 264-8801
Interoperability endpoints
- timothysternberg@apr.allscriptsdirect.net
- timothy.sternberg.1@25110.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
Interventional Pain Medicine
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
Interventional Pain Medicine
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1114892361
-
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1669433801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WELLS RD STE 300",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732982",
"telephone_number": "904-282-6331",
"fax_number": "904-619-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RIVERSIDE AVE STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058233",
"telephone_number": "904-264-8801",
"fax_number": "904-621-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNBERG",
"first_name": "TIMOTHY",
"middle_name": "LAMON",
"credential": "M.D., D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME69375",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME69375",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME69375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00071130",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2649501-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "614436071A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.