Provider Demographics
NPI:1649206665
Name:SEAR, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:SEAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-502-7117
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:4330 WORNALL RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3201
Practice Address - Country:US
Practice Address - Phone:816-931-1883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9G12207RC0000X
KS0422731207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR9G12OtherLICENSE
060014117OtherMEDICARE RAILROAD
15118011OtherPHP FREEDOM
15118011OtherBLUE SHIELD OF KC HMO
MOP00853577OtherMEDICARE RAILROAD
431092652A013OtherCHAMPUS TRICARE
D93610Medicare UPIN
MOMA2231004Medicare PIN
0005548223OtherAETNA HMO
0005548223OtherAETNA PPO
MO1649206665Medicaid
MOMA3395011Medicare PIN
MOP01100624OtherRAILROAD MEDICARE
MOK67000040Medicare PIN
15118011OtherBLUE SHIELD OF KC PPO
MO4540725AMedicare ID - Type Unspecified