Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 200401440 | NC |
Y | 207RP1001X | Pulmonary Disease | 200401440 | NC |
N | 207RS0012X | Sleep Medicine | 200401440 | NC |
N | 208000000X | Pediatrician | 200401440 | NC |
NPI | 1083639439 |
---|---|
Provider Name | Dr. Thomas P. Stern |
First Address | Huntersville, NC 28078-5082 |
Second Address | Huntersville, NC 28078-5082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 13/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1387E | NCBCBS (01) | NC |
5901121 | (05) | NC |
H53866 | (02) | NC |
N01440 | (05) | SC |