Active NPI
George Arnold Stern, M.D.
- Specialist
- Missoula, MT
National Provider Identifier
1851393987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8180
- Practice address
- 1200 S Reserve St
Suite H
Missoula, MT 59801-3105 - Phone
- (406) 543-9200
- Fax
- (406) 543-9222
- NPI assigned
- Jun 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8180 | MT | Primary |
Addresses
Primary practice location
1200 S Reserve St
Suite H
Missoula, MT 59801-3105
Mailing address
1200 S Reserve St
Suite H
Missoula, MT 59801-3105
Phone (406) 543-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0169507 | Medicaid | MT | |
| 95001 | Other | MT | BCBS |
| 0035581 | Medicaid | MT | |
| 0005120600 | Other | MT | AETNA |
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 |
|---|---|---|---|
| 8180 | MT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Valley Eye Clinic, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Missoula, MT
- NPI 1063634145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1851393987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S RESERVE ST",
"address_2": "SUITE H",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598013105",
"telephone_number": "406-543-9200",
"fax_number": "406-543-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S RESERVE ST",
"address_2": "SUITE H",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598013105",
"telephone_number": "406-543-9200",
"fax_number": "406-543-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "GEORGE",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "8180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0169507",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "95001",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035581",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005120600",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.