Provider Demographics
NPI:1871771683
Name:STEVEN L STERLING, M.D., PC
Entity type:Organization
Organization Name:STEVEN L STERLING, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:JARNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-540-1777
Mailing Address - Street 1:2607 KINGSTON PIKE
Mailing Address - Street 2:SUITE 182
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3333
Mailing Address - Country:US
Mailing Address - Phone:865-540-1777
Mailing Address - Fax:865-566-0109
Practice Address - Street 1:2607 KINGSTON PIKE
Practice Address - Street 2:SUITE 182
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3333
Practice Address - Country:US
Practice Address - Phone:865-540-1777
Practice Address - Fax:865-566-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD18077174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3891003Medicaid
TN3891003Medicaid
TN3891003Medicare PIN