Basic Information
| Provider Information | |||||||||
| NPI: | 1528035151 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEARS | ||||||||
| FirstName: | CAMERON | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1422 OLD WEISGARBER RD | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379091293 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655584400 | ||||||||
| FaxNumber: | 8655584471 | ||||||||
| Practice Location | |||||||||
| Address1: | 1422 OLD WEISGARBER RD | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379092674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8655584400 | ||||||||
| FaxNumber: | 8655584471 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2006 | ||||||||
| LastUpdateDate: | 06/29/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XP3100X | 26871 | TN | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | 207X00000X | MD26871 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 200030071 | 01 | TN | RAILROAD MEDICARE | OTHER | 3711675 | 01 | MEDICARE PTAN | OTHER | 4665044 | 01 | TN | AETNA | OTHER | 0068217 | 05 | OH | MEDICAID | 3071388 | 01 | TN | BLUE CROSS BLUE SHIELD | OTHER | 3711620 | 01 | MEDICARE PTAN | OTHER | TN0154 | 01 | TN | JOHN DEERE HEALTHCARE | OTHER | 1315644 | 01 | TN | UNITED HEALTH CARE | OTHER | TN0115 | 01 | TN | JOHN DEERE HEALTHCARE | OTHER | 3093650 | 05 | TN | MEDICAID | 100010180 | 01 | TN | TENNCARE | OTHER | 3711676 | 01 | MEDICARE PTAN | OTHER |