Individual provider Active NPI

Timothy Lamon Sternberg, M.D., D.M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1669433801
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME69375 Issued in FL
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

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00071130OtherFLRAILROAD MEDICARE
2649501-00MedicaidFL
614436071AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031106000021 FL Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Anesthesiology 8527971639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69375FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Interventional Pain Medicine CurrentSince Oct 1, 2017 Accepting new patients
Physicians Group Services PA Interventional Pain Medicine CurrentSince Oct 1, 2017 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

  • Direct secure messaging: timothysternberg@apr.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.