Organization Active NPI

Robert Sewell, M.D., P.a.

  • Surgery Physician
  • Southlake, TX
National Provider Identifier
1255610101
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E2854 Issued in TX
Legal business name
ROBERT SEWELL, M.D., P.A.
Practice address
1545 E. Southlake Blvd
Suite 140
Southlake, TX 76092-6422
Phone
(817) 748-0200
Fax
(817) 749-0204
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Robert Walter Sewell, M.D.
Title
President
Phone
(817) 748-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E2854 TX Primary

Addresses

Primary practice location

1545 E. Southlake Blvd
Suite 140
Southlake, TX 76092-6422

Mailing address

1545 E. Southlake Blvd
Suite 140
Southlake, TX 76092-6422
Phone (817) 748-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1255610101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 E. SOUTHLAKE BLVD",
            "address_2": "SUITE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926422",
            "telephone_number": "817-748-0200",
            "fax_number": "817-749-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 E. SOUTHLAKE BLVD",
            "address_2": "SUITE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926422",
            "telephone_number": "817-748-0200",
            "fax_number": "817-749-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SEWELL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-748-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "E2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.