Provider Demographics
NPI:1235540733
Name:SAWYER, CHRISTOPHER (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SAWYER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 20TH ST
Mailing Address - Street 2:SUITE 503
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-1809
Mailing Address - Country:US
Mailing Address - Phone:865-331-4321
Mailing Address - Fax:865-331-4320
Practice Address - Street 1:501 20TH ST
Practice Address - Street 2:SUITE 503
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1809
Practice Address - Country:US
Practice Address - Phone:865-331-4321
Practice Address - Fax:865-331-4320
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2525363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6014919OtherBLUECROSS BLUESHIELD
TN6014920OtherBLUECROSS BLUESHIELD - PA SURGICAL
TNQ005850Medicaid
5442690OtherAETNA
TNP01477136OtherRR MEDICARE
TNP01477136OtherRR MEDICARE
TN103I974629Medicare PIN
TN103I700041Medicare PIN