Provider Demographics
NPI:1649348913
Name:SAWYER, DANIEL W (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:W
Last Name:SAWYER
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 1:1200 FIVE SPRINGS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-8763
Mailing Address - Country:US
Mailing Address - Phone:434-977-1933
Mailing Address - Fax:434-295-3128
Practice Address - Street 1:1200 FIVE SPRINGS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-8763
Practice Address - Country:US
Practice Address - Phone:434-977-1933
Practice Address - Fax:434-295-3128
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101037045207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6062059Medicaid
VA110001837Medicare ID - Type Unspecified
VA6062059Medicaid