Provider Demographics
NPI:1154411395
Name:SEARS, MARTIN F (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:F
Last Name:SEARS
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 1:1935 EAST MILITARY AVENUE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5489
Mailing Address - Country:US
Mailing Address - Phone:402-721-5657
Mailing Address - Fax:402-753-9179
Practice Address - Street 1:1935 EAST MILITARY AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5489
Practice Address - Country:US
Practice Address - Phone:402-721-5657
Practice Address - Fax:402-753-9179
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47061404700Medicaid
B90801Medicare UPIN
NE099001Medicare ID - Type Unspecified