Provider Demographics
NPI:1356395776
Name:SEARS, CATHERINE MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIE
Last Name:SEARS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1400 DOWELL SPRINGS BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:67909-2457
Mailing Address - Country:US
Mailing Address - Phone:865-584-0291
Mailing Address - Fax:865-584-4426
Practice Address - Street 1:1400 DOWELL SPRINGS BLVD
Practice Address - Street 2:STE 200
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:67909-2456
Practice Address - Country:US
Practice Address - Phone:865-584-0291
Practice Address - Fax:865-584-4426
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2015-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC3822085R0202X
TNDO021052085R0202X
GA55446208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG49835Medicare UPIN
SCG49835Medicare UPIN
TN103I30557Medicare PIN