Provider Demographics
NPI:1528035151
Name:SEARS, CAMERON J (MD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:J
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 1:260 FORT SANDERS WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-558-4400
Mailing Address - Fax:865-558-4421
Practice Address - Street 1:260 FORT SANDERS WEST BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3355
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-558-4421
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26871207XP3100X
TNMD26871207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0115OtherJOHN DEERE HEALTHCARE
OH0068217Medicaid
TN200030071OtherRAILROAD MEDICARE
TN4665044OtherAETNA
TN100010180OtherTENNCARE
TN3071388OtherBLUE CROSS BLUE SHIELD
TNTN0154OtherJOHN DEERE HEALTHCARE
3711620OtherMEDICARE PTAN
3711675OtherMEDICARE PTAN
3711676OtherMEDICARE PTAN
TN1315644OtherUNITED HEALTH CARE
TN3093650Medicaid
TN1315644OtherUNITED HEALTH CARE
G10131Medicare UPIN
3711675OtherMEDICARE PTAN
TN3071388OtherBLUE CROSS BLUE SHIELD
TN200030071OtherRAILROAD MEDICARE
TN103I202921Medicare PIN