MEDICARE: DR. JAMES MICHAEL STEARNS 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	207W00000X	Ophthalmology Physician	14843	KY
2	207W00000X	Ophthalmology Physician	01031657	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000476835	OTHER	BC/BS ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790780567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MICHAEL STEARNS M.D.

Provider Business Mailing Address
First Line	:	3372 WALTER RD
Second Line	:
City	:	ROBARDS
State	:	KY
Zip	:	42452-9365
Country	:	US
Telephone Number	:	270-826-5100
Fax Number	:	270-826-3644

Provider Business Practice Location Address
First Line	:	110 3RD ST
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-2993
Country	:	US
Telephone Number	:	270-826-5100
Fax Number	:	270-826-3644

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/21/2010

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