John L Sawtelle DO PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G0063 Issued in TX

Legal business name

JOHN L SAWTELLE DO PA

Practice address

218 Park St
Trinidad, TX 75163-6060

Phone

(903) 778-2942

Fax

(903) 778-2537

NPI assigned

Jun 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Harrison, CPC CMC

Title

Provider Enrollment Coordinator

Phone

(903) 510-1113

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1194951517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PARK ST",
            "city": "TRINIDAD",
            "state": "TX",
            "postal_code": "751636060",
            "telephone_number": "903-778-2942",
            "fax_number": "903-778-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 PARK ST",
            "city": "TRINIDAD",
            "state": "TX",
            "postal_code": "751636060",
            "telephone_number": "903-778-2942",
            "fax_number": "903-778-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L SAWTELLE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "903-510-1113",
        "authorized_official_credential": "CPC CMC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G0063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbie Owen Bayless, PHYSICAL THERAPIST
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• Dlkpac PLLC
• Deborah A Kelley, PAC
• Gale Melvin Macziewski Jr., D.C.
• Wallace Grey Newman, DDS
• Tim Peele, D.C.
• John L Sawtelle, DO

• Primary Care Clinic/Center in Trinidad, TX
• Providers in Trinidad, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.