Provider Demographics
NPI:1811919269
Name:SEARS, JAMES W (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:SEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:498 ESSEX ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3990
Mailing Address - Country:US
Mailing Address - Phone:207-947-0558
Mailing Address - Fax:207-947-0344
Practice Address - Street 1:498 ESSEX ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3990
Practice Address - Country:US
Practice Address - Phone:207-947-0558
Practice Address - Fax:207-947-0344
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME0107192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME000373OtherANTHEM BLUE SHIELD
ME7733257OtherCIGNA
ME5577249OtherAETNA
MED03533Medicare UPIN
MEMM0031Medicare ID - Type Unspecified