Active NPI
Fredric Arlen Stern, M.D.
- Plastic and Reconstructive Surgery Physician
- Bellevue, WA
National Provider Identifier
1831232834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 20019
- Practice address
- 1370 116TH Ave NE
Ste. 102
Bellevue, WA 98004-3825 - Phone
- (425) 455-9100
- Fax
- (425) 455-8591
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 20019 | WA | Primary |
Addresses
Primary practice location
1370 116TH Ave NE
Ste. 102
Bellevue, WA 98004-3825
Mailing address
16482 SE 58TH PL
Bellevue, WA 98006-5545
Phone (425) 649-0353
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 |
|---|---|---|---|
| 20019 | WA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831232834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16482 SE 58TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065545",
"telephone_number": "425-649-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 116TH AVE NE",
"address_2": "STE. 102",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043825",
"telephone_number": "425-455-9100",
"fax_number": "425-455-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "FREDRIC",
"middle_name": "ARLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "20019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
- Jessica Danielle Stephens, BA
- Kathy A Stepien, MD
- Stepping Stone Pediatrics
- Stepping Stones Occupational Therapy (Jessica McMurdie)
- Stern Center for Aesthetic Surgery Inc
- Rachel Sternoff, ARNP
- Nazariy Stetsyuk, DC
- Steve Carstensen DDS (Bellevue Dental Sleep Medicine)
- Steven K Woods, MD PLLC
- Steven L. Paige DDS & Leroy Horton DDS, PLLC (Affordable Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.