Basic Information
Provider Information
NPI: 1881664969
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAWYER
FirstName: ROBERT
MiddleName: NEWELL
NamePrefix: DR.
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9007
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229069007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1221 LEE ST
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229081126
CountryCode: US
TelephoneNumber: 4349242706
FaxNumber: 4349249068
Other Information
ProviderEnumerationDate: 01/23/2006
LastUpdateDate: 08/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PE0004X35058797OHN Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
207PE0005X35058797OHN Allopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
2084N0400X35058797OHN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X0101274787VAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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