DR. JACK JAY STERNBERG M.D. NPI 1336145218

NPI Information

NPI: 1336145218
Provider Name: DR. JACK JAY STERNBERG, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 N UNIVERSITY AVE
LITTLE ROCK, AR
ZIP 72207
Phone: (501) 661-0060
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DR. Jack Jay Sternberg, M.D. is a specialist in Little Rock, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jack Jay Sternberg, M.D. NPI is 1336145218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 N UNIVERSITY AVE
LITTLE ROCK, AR
ZIP 72207-347
Phone: (501) 661-0060
Fax: (501) 661-1233

The NPI 1336145218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 6/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	173000000X	Legal Medicine		C5323	ARKANSAS	No
2	174400000X	Specialist		C5323	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55111	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	MEDICARE NUMBER
2	104618001	MEDICAID	ARKANSAS
3	C5323	OTHER	ARKANSAS	LICENSE NUMBER
4	D09045	MEDICARE UPIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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