Active NPI
Ethan Mitchel Stern, MD
- Ophthalmology Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 338669
- Practice address
- 1116 W Ganson St
Jackson, MI 49202-4240 - Phone
- (877) 852-8463
- NPI assigned
- Jun 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 338669 | LA | Primary |
| Ophthalmology Physician | 207W00000X | EMC0009269 | MI |
Addresses
Primary practice location
1116 W Ganson St
Jackson, MI 49202-4240
Mailing address
1116 W Ganson St
Jackson, MI 49202-4240
Phone (877) 852-8463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA, WI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tulane University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
4224 Houma Blvd
Suite 430
Metairie, LA 70006-2937
Phone (504) 888-7771
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338669 | LA | MD | Ophthalmology Physician |
| EMC0009269 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert D. Ross, MD (Apmc) | Ophthalmology | Current | Accepting new patients |
| Mid Michigan Eye Care Center, PC | Ophthalmology | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Southern Retinal Institute, LLC | Ophthalmology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Ophthalmology | Current | Accepting new patients |
| Joshua M. Groetsch, MD LLC | Ophthalmology | Past | Accepting new patients |
Locations
2221 Clearview Pkwy
Metairie, LA 70001
Phone 50488877712458
2221 Clearview Pkwy
Ste 100
Metairie, LA 70001
2800 Veterans Memorial Blvd
Ste 160
Metairie, LA 70002
Phone (504) 264-9428
4224 Houma Blvd
Ste 430
Metairie, LA 70006
Phone (504) 455-7536
3525 Prytania St
Ste 430
New Orleans, LA 70115
Phone (504) 897-7772
363 Fremont St
Ste 301
Battle Creek, MI 49017
Phone (616) 964-3018
1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436
7703 Floyd Curl Dr
#6230
San Antonio, TX 78229
Phone (210) 567-8402
701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
8300 Floyd Curl Dr
Fl 6
San Antonio, TX 78229
Phone (210) 450-9400
8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300
Interoperability endpoints
- https://api.platform.athenahealth.com/7774/brand/1/csg/1/fhir/r4
- estern34770@direct.utmsa.com
- estern@rossdavisretina.intellechartdirect.net
- ethan.stern.1@7774.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1598766511
-
- Ophthalmology Physician
- Jackson, MI
- NPI 1649275041
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1912419227
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Ophthalmology
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1740865864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1710470281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 W GANSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492024240",
"telephone_number": "877-852-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 W GANSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492024240",
"telephone_number": "877-852-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ETHAN",
"middle_name": "MITCHEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-10",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "338669",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "EMC0009269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.