DR. JACK JAY STERNBERG (NPI# 1336145218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145218 |
| Entity Type | Individual |
| Full Name | DR. JACK JAY STERNBERG |
| Credential | M.D. |
| Practice Address |
1000 N University Ave Little Rock AR 72207-6347 |
| Practice Telephone | 5016610060 |
| Practice Fax Number | 5016611233 |
| Mailing Telephone | 5016610060 |
| Mailing Fax Number | 5016611233 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | C5323 | AR | Other Service Providers |
| Y | 174400000X | Specialist | C5323 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104618001 | 05 | |
| AR | LICENSE NUMBER | C5323 | 01 |
| Street Address |
1000 N UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-6347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366768566 | Sally Houston Naucke | Nurse Practitioner | 1000 N University Ave, Little Rock, AR 72207-6347 | 2010-04-13 |
| 1376876839 | Kelly Dawn Sweeney | Nurse Practitioner | 1000 N University Ave, Little Rock, AR 72207-6347 | 2009-09-15 |
| 1821007501 | Arkansas Oncology Associates | Specialist | 1000 N University Ave, Little Rock, AR 72207-6347 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932627999 | Erin Walker | Specialist | 1500 N Mississippi St, Little Rock, AR 72207-5851 | 2017-08-30 |
| 1467837575 | Riverfront Doulas, LLC | Specialist | 114 Trelon Way, Little Rock, AR 72223-3988 | 2015-07-30 |
| 1831599661 | Lashanta Mccoy | Specialist | 110 N State St, Little Rock, AR 72201-1309 | 2014-08-29 |
| 1194063990 | Robert A. Porter | Specialist | 1900 Shadow Ln, Little Rock, AR 72207-2018 | 2013-01-29 |
| 1164767281 | Jamila Hall | Specialist | 231 Markwood Dr, Little Rock, AR 72205-2409 | 2012-11-29 |
| 1215221387 | Robin Richard Jones | Specialist | 7012 Shamrock Dr, Little Rock, AR 72205-2780 | 2011-06-06 |
| 1821399684 | Ashley Nicole Greene | Specialist | 500 Napa Valley Dr Apt 614, Little Rock, AR 72211-5012 | 2010-11-10 |
| 1932429594 | Arkansas Health Group | Specialist | 9501 Baptist Health Dr Ste 810, Little Rock, AR 72205-6233 | 2010-06-07 |
| 1922339514 | William Turner Harris | Specialist | 4816 Country Club Blvd, Little Rock, AR 72207-4720 | 2010-01-20 |
| 1558592543 | John Tyler Baber, M.d. P.a. | Specialist | 500 S University Ave Ste 103, Little Rock, AR 72205-5303 | 2009-08-07 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on DR. JACK JAY STERNBERG.
| 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.