Gary R Stern (NPI# 1700812633, PAC ID# 4789603176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1700812633 |
| PAC ID by PECOS | 4789603176 |
| Professional Enrollment ID | I20141015002145 |
| Full Name | Gary R Stern |
| Organization Legal Name | WAYNE SJC MEDICAL GROUP, LLC |
| Address |
111 Colonial Way Suite 3 Jesup GA 31545-0132 |
| Phone Number | 9124278365 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 5496901811 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110124 | WAYNE MEMORIAL HOSPITAL |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| Address | Phone | Organization |
|---|---|---|
| 111 Colonial Way, Suite 3, Jesup, GA 31545-0132 | 9124278365 | WAYNE SJC MEDICAL GROUP, LLC |
| 320 Peachtree St, Jesup, GA 31545-0244 | 9124277790 | WAYNE SJC MEDICAL GROUP, LLC |
| 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 9124276915 | WAYNE SJC MEDICAL GROUP, LLC |
| 930 S 1st St, Jesup, GA 31545-0202 | 9124277790 | WAYNE SJC MEDICAL GROUP, LLC |
| Organization Legal Name | WAYNE SJC MEDICAL GROUP, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oliver H Jenkins | Otolaryngology | Wayne Sjc Medical Group, LLC | 320 Peachtree St, Jesup, GA 31545-0244 |
| Douglas P Hein | Orthopedic Surgery | Wayne Sjc Medical Group, LLC | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 |
| Dorothy Karen Nelder | Family Medicine | Wayne Sjc Medical Group, LLC | 320 Peachtree St, Jesup, GA 31545-0244 |
| Street Address |
111 COLONIAL WAY SUITE 3 |
| City | JESUP |
| State | GA |
| Zip | 31545-0132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly M Boyette | Nurse Practitioner | Applecare LLC | 111 Colonial Way, Jesup, GA 31545-0130 |
| Kristin D Carver | Nurse Practitioner | Applecare LLC | 111 Colonial Way, Jesup, GA 31545-0130 |
| Shannon Ellis | Preventative Medicine | Applecare LLC | 111 Colonial Way, Jesup, GA 31545-0130 |
| Charles T Tucker | Internal Medicine | Nephrology and Hypertension Medical Associates PC | 111 Colonial Way, Suite 2, Jesup, GA 31545-0132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Rowell | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John M Valosen | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Kyle S Deuter | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Thomas Patrick Loumeau | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John L Kenerly Iii | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Jay Cook | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Gavin Heath Denmark | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Monica Carrion | Physical Medicine and Rehabilitation | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Amber B Aragon | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Mark D Byron | Urology | 162 Memorial Dr, Jesup, GA 31545-0101 | |
| Find all physicians in zip 31545 | |||
| City | JESUP |
| Zip Code | 31545 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | JESUP + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Gary R Stern.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.