Individual provider Active NPI

Peter D Sears, MD

  • General Practice Physician
  • Sun City Center, FL
National Provider Identifier
1407196199
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
075011 Issued in NY
Practice address
809 Freedom Plaza Cir
Apt 307
Sun City Center, FL 33573-5288
Phone
(813) 642-9431
NPI assigned
Feb 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 075011 NY Primary

Addresses

Primary practice location

809 Freedom Plaza Cir
Apt 307
Sun City Center, FL 33573-5288

Mailing address

809 Freedom Plaza Cir
Apt 307
Sun City Center, FL 33573-5288
Phone (813) 642-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1407196199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 FREEDOM PLAZA CIR",
            "address_2": "APT 307",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735288",
            "telephone_number": "813-642-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FREEDOM PLAZA CIR",
            "address_2": "APT 307",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735288",
            "telephone_number": "813-642-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "PETER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "075011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.