MEDICARE: JEFFREY A STERN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	33193	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00253367	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	86080015085259D020	OTHER	AZ	TRIWEST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558341834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY A STERN M.D.

Provider Business Mailing Address
First Line	:	14044 W CAMELBACK RD
Second Line	:	SUITE 118
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-9428
Country	:	US
Telephone Number	:	623-547-2600
Fax Number	:	623-547-1899

Provider Business Practice Location Address
First Line	:	14044 W CAMELBACK RD
Second Line	:	SUITE 118
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-9428
Country	:	US
Telephone Number	:	623-547-2600
Fax Number	:	623-547-1899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	02/19/2016

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Directions to “ JEFFREY A STERN M.D.” Practice Location

Language	Start Address	Practice Location

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