Provider Demographics
NPI:1699790311
Name:STERN CARDIOVASCULAR CENTER, PA
Entity type:Organization
Organization Name:STERN CARDIOVASCULAR CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:901-271-2272
Mailing Address - Street 1:8060 WOLF RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1727
Mailing Address - Country:US
Mailing Address - Phone:901-271-2272
Mailing Address - Fax:901-271-2161
Practice Address - Street 1:8060 WOLF RIVER BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-1727
Practice Address - Country:US
Practice Address - Phone:901-271-2272
Practice Address - Fax:901-271-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3084356Medicare ID - Type Unspecified
TN3173153Medicare ID - Type Unspecified
TN3849256Medicare ID - Type Unspecified
TN3074878Medicare ID - Type Unspecified
TN3896897Medicare ID - Type Unspecified
TN3179547Medicare ID - Type Unspecified
TN3852549Medicare ID - Type Unspecified
TN3173180Medicare ID - Type Unspecified
TN3073637Medicare ID - Type Unspecified
TN3858437Medicare ID - Type Unspecified
TN3884393Medicare ID - Type Unspecified
TN3893661Medicare ID - Type Unspecified
TN3173171Medicare ID - Type Unspecified
TN3060101Medicare ID - Type Unspecified