Individual provider Active NPI

Ethan Mitchel Stern, MD

  • Ophthalmology Physician
  • Jackson, MI
National Provider Identifier
1710470281
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
338669 Issued in LA
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

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220615000586 TX Practitioner - Ophthalmology 1153708268 Reassigns benefits to 1 organization
I20240620002587 LA Practitioner - Ophthalmology 1153708268 Reassigns benefits to 2 organizations
I20260504004830 WI Practitioner - Ophthalmology 1153708268 Reassigns benefits to 3 organizations
I20260514001167 MI Practitioner - Ophthalmology 1153708268 Reassigns benefits to 1 organization

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
Robert D. Ross, MD (Apmc)Group PAC ID 7911973854, 3 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338669LAMDOphthalmology Physician
EMC0009269MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Ross, MD (Apmc) Ophthalmology CurrentSince Sep 18, 2025 Accepting new patients
Mid Michigan Eye Care Center, PC Ophthalmology CurrentSince Apr 1, 1994 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2022 Accepting new patients
Southern Retinal Institute, LLC Ophthalmology CurrentSince Jun 7, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Ophthalmology CurrentSince Jul 1, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/7774/brand/1/csg/1/fhir/r4
  • Direct secure messaging: estern34770@direct.utmsa.com
  • Direct secure messaging: estern@rossdavisretina.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.