MEDICARE: CD SEARS MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35086480	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629294368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CD SEARS MD INC

Provider Business Mailing Address
First Line	:	258 PROGRESS PKWY
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-2523
Country	:	US
Telephone Number	:	419-443-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	258 PROGRESS PKWY
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-2523
Country	:	US
Telephone Number	:	419-443-8505
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. CHRISTOPHER SEARS
Credential	:	MD
Telephone Number	:	419-443-8520

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	04/23/2024

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