Provider Demographics
NPI:1881656023
Name:SEARS, CAROL D (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:D
Last Name:SEARS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:JONESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17038-9774
Mailing Address - Country:US
Mailing Address - Phone:717-865-2162
Mailing Address - Fax:717-865-7680
Practice Address - Street 1:120 S. TAN ST., SUITE 1
Practice Address - Street 2:FREDERICKSBURG COMMUNITY HEALTH CENTER PC
Practice Address - City:FREDERICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:17026-0009
Practice Address - Country:US
Practice Address - Phone:717-865-6644
Practice Address - Fax:717-865-7321
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028463E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001104995Medicaid
PA0467175OtherBLUE SHIELD
PA01345001OtherBLUE CROSS
PA0467175OtherBLUE SHIELD
PA467175HE2Medicare PIN