Provider Demographics
NPI:1427019389
Name:SEWELL, STEVEN K (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:SEWELL
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 1:1608 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-5304
Mailing Address - Country:US
Mailing Address - Phone:337-392-1000
Mailing Address - Fax:337-392-1099
Practice Address - Street 1:1608 S 5TH ST
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-5304
Practice Address - Country:US
Practice Address - Phone:337-392-1000
Practice Address - Fax:337-392-1099
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12272R207Y00000X, 207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1697664Medicaid
E57627Medicare UPIN
LA5Y605Medicare PIN
LA1697664Medicaid