CHARLES G SEWALL (NPI# 1750374476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750374476 |
| Entity Type | Individual |
| Full Name | CHARLES G SEWALL |
| Credential | M.D. |
| Practice Address |
800 Oak Ridge Tpke Suite C-100 Oak Ridge TN 37830-6957 |
| Practice Telephone | 8654832288 |
| Practice Fax Number | 8654824400 |
| Mailing Telephone | 8654832288 |
| Mailing Fax Number | 8654824400 |
| Enumeration Date | 2005-08-28 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
28475 | KY | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
021441 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BLUE CROSS | 000000252844 | 01 |
| TN | 3059927 | 05 | |
| KY | BLUEGRASS | 620897289002 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 3028800 | 01 |
| KY | 64799125 | 05 | |
| KY | CHA | 4532 | 01 |
| TN | AETNA | 4666257 | 01 |
| TN | UHC RIVER VALLEY | 62089728903 | 01 |
| KY | CUMBERLAND HEALTHCARE | C10003 | 01 |
| Street Address |
800 OAK RIDGE TPKE SUITE C-100 |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834835 | John Thornton Foust | Internal Medicine | 800 Oak Ridge Tpke, Building A, Ste 600, Oak Ridge, TN 37830-6957 | 2005-07-08 |
| 1053862987 | Carman Alig | Licensed Practical Nurse | 800 Oak Ridge Tpke, Oak Ridge, TN 37830-6957 | 2016-10-15 |
| 1184171837 | Tennessee Cancer Specialists Pllc | Internal Medicine | 800 Oak Ridge Tpke, Building A, Suite 600, Oak Ridge, TN 37830-6957 | 2016-09-09 |
| 1801248349 | Rachel Hope Vann | Nurse Practitioner | 800 Oak Ridge Tpke, Jackson Plaza Suite 101, Oak Ridge, TN 37830-6957 | 2016-07-08 |
| 1942687199 | Girling Health Care Services of Knoxville, Inc. | Home Health | 800 Oak Ridge Tpke, Suite A208, Oak Ridge, TN 37830-6957 | 2015-04-27 |
| 1295143741 | Brandy Reynolds | Nurse Practitioner | 800 Oak Ridge Tpke, Suite C-200, Oak Ridge, TN 37830-6957 | 2014-07-29 |
| 1013258243 | Zoe Varner | Physician Assistant | 800 Oak Ridge Tpke, Suite 800, Oak Ridge, TN 37830-6957 | 2013-03-13 |
| 1427394220 | Frances L. Cross, Md, Pllc | Surgery | 800 Oak Ridge Tpke, Suite A200, Oak Ridge, TN 37830-6957 | 2012-12-26 |
| 1295977783 | Adam B Shrewsberry | Specialist | 800 Oak Ridge Tpke, Suite A101, Oak Ridge, TN 37830-6957 | 2009-03-30 |
| 1285884429 | Jerry A Allen | Nurse Practitioner | 800 Oak Ridge Tpke, Suite A300, Oak Ridge, TN 37830-6957 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031071 | John F Jernigan | Otolaryngology | 800 Oak Ridge Tpke, Suite C-100, Oak Ridge, TN 37830-6957 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467659375 | Raja A. Atiyah, Md PC | Otolaryngology | 1310 N Locust Ave, Lawrenceburg, TN 38464-2208 | 2007-07-03 |
| 1457435794 | Richard J Depersio | Otolaryngology | 7557a Dannaher Dr, Suite 210, Powell, TN 37849-3558 | 2006-10-24 |
| 1770551640 | Domenic Michael Canonico | Otolaryngology | 507 Nw Atlantic St, Tullahoma, TN 37388-3504 | 2006-03-08 |
| 1821068040 | William Robert Stewart Jr. | Otolaryngology | 1609 Rosewood Dr, Columbia, TN 38401-6420 | 2006-01-23 |
| 1578647806 | Greater Knoxville Ear, Nose and Throat Associates, PC | Otolaryngology | 7557a Dannaher Drive, Suite 210, Powell, TN 37849-3558 | 2006-10-24 |
| 1932177805 | Ear, Nose, and Throat Associates of Middle Tennessee, P.C. | Otolaryngology | 507 Nw Atlantic St, Tullahoma, TN 37388-3504 | 2006-03-08 |
| 1457357907 | John Mciver Hodges Sr. | Otolaryngology | 1325 Eastmoreland Ave, Ste 450, Memphis, TN 38104-7535 | 2005-06-21 |
Please comment or provide details below to improve the information on CHARLES G SEWALL.
| 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.