DR. JEFFREY TODD STERN (NPI# 1871688531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871688531 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY TODD STERN |
| Credential | MD |
| Practice Address |
51 Depot St Suite 201 Watertown CT 06795-2629 |
| Practice Telephone | 8602742418 |
| Practice Fax Number | 8602742986 |
| Mailing Telephone | 8602742418 |
| Mailing Fax Number | 8602742986 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 021487 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD | P1009203 | 01 |
| CT | ANTHEM BLUE CROSS | 010021487CT01 | 01 |
| CT | CONNECTICARE | 706203 | 01 |
| CT | UNITED HEALTHCARE | 06-1009203 | 01 |
| CT | PROVIDER NUMBER | 06-1009203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720218738 | Jeffrey S Stern | Radiology | 36401 Harper Ave, Clinton Twp, MI 48035-2957 | 2009-07-24 |
| 1346426624 | Jeffrey Joel Stern | Psychologist | 29290 Wyndham Ct, Farmington Hills, MI 48334-1859 | 2008-01-16 |
| 1932241882 | Jeffrey D Stern | Psychologist | 1833 Kalakaua Ave Ste 503, Honolulu, HI 96815-1527 | 2007-02-13 |
| 1962428987 | Jeffrey Lane Stern | Dentist | 157 Portsmouth Avenue, Stratham, NH 03885-0277 | 2006-07-14 |
| 1114364056 | Jeffrey M Stern | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2013-06-02 |
| 1083979066 | Jeffrey Stern | Internal Medicine | 2009 Summer St, Stamford, CT 06905-5023 | 2012-07-06 |
| 1487685228 | Jeffrey Howard Stern | Specialist | 1365 Washington Ave, Suite 101, Albany, NY 12206-1098 | 2006-07-06 |
| 1447211784 | Jeffrey Stern | Surgery | 2001 Dwight Way, 2nd Floor, Berkeley, CA 94704-2608 | 2006-03-28 |
| 1558341834 | Jeffrey A Stern | Urology | 14044 W Camelback Rd, Suite 118, Litchfield Park, AZ 85340-9428 | 2006-01-20 |
| Street Address |
51 DEPOT ST SUITE 201 |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896790 | Mark Philip Stone | Chiropractor | 51 Depot St, Suite 504, Watertown, CT 06795-2629 | 2005-07-21 |
| 1518124668 | Advance Therapy Associates LLC | Early Intervention Provider Agency | 51 Depot St, Suite 207, Watertown, CT 06795-2629 | 2008-05-16 |
| 1417128679 | Elisa Julia Theresa Wilson | Social Worker | 51 Depot St, Suite 209, Watertown, CT 06795-2629 | 2008-03-17 |
| 1134258874 | Matthew James Baker | Dentist | 51 Depot St, Suite 210, Watertown, CT 06795-2629 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
| Find all providers in zip 06795 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376839563 | Terrell Yancy Johnson | Internal Medicine | 590 Main St Unit 205, Watertown, MA 02472-2117 | 2011-06-26 |
| 1235363490 | Ingrid Margot Hall | Internal Medicine | 629 Washington St Ste 2, Watertown, NY 13601-4083 | 2009-05-03 |
| 1467613356 | Maximilian Gomez-trochez | Internal Medicine | 51 Depot St Ste 202, Watertown, CT 06795-2667 | 2008-06-23 |
| 1700046083 | John P. Moschello, Md, PC | Internal Medicine | 594 Mount Fair Dr, Watertown, CT 06795-1661 | 2008-06-11 |
| 1265639116 | Steven Edward Shamosh | Internal Medicine | 169 Bishop St, Watertown, NY 13601-4603 | 2007-07-02 |
| 1831238625 | Wayne S Wild | Internal Medicine | 705 Mount Auburn Street, Tufts Health Plan, Watertown, MA 02472-1508 | 2007-02-06 |
| 1891843645 | Victor Peter Wasilauskas | Internal Medicine | 10 Brookview Cir, Watertown, CT 06795-1231 | 2007-01-08 |
| 1700964848 | Martha N Martents | Internal Medicine | 48 Summer Street, Suite 1, Watertown, MA 02472-3815 | 2006-11-02 |
| 1043396112 | Gerald George Fette | Internal Medicine | 246 Winding Brook Farm Road, Watertown, CT 06795-0144 | 2006-10-31 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.