Healthcare Provider Details

I. General information

NPI: 1023434875
Provider Name (Legal Business Name): STEPHEN CARVER SEARS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MISAWA AIR BASE BUILDING 99, 35TH MED GROUP
APO AP
96319
US

IV. Provider business mailing address

UNIT 5024 35TH MEDICAL GROUP
APO AP
96319-5024
US

V. Phone/Fax

Practice location:
  • Phone: 315-226-6140
  • Fax:
Mailing address:
  • Phone: 999-999-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102204203
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: