Healthcare Provider Details

I. General information

NPI: 1770042657
Provider Name (Legal Business Name): EVAN ROBERT STEARNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 HARRODSBURG RD
LEXINGTON KY
40503-2162
US

IV. Provider business mailing address

2400 HARRODSBURG RD
LEXINGTON KY
40503-2162
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-0319
  • Fax: 859-277-9699
Mailing address:
  • Phone: 859-278-0319
  • Fax: 859-277-9699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number57015
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number57015
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: