Organization Active NPI

CD Sears MD Inc

  • Internal Medicine Physician
  • Tiffin, OH
National Provider Identifier
1629294368
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35086480 Issued in OH
Legal business name
CD SEARS MD INC
Practice address
258 Progress Pkwy
Tiffin, OH 44883-2523
Phone
(419) 443-8505
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Dr. Christopher Sears, MDNPI 1427095926
Title
Physician
Phone
(419) 443-8520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35086480 OH Primary

Addresses

Primary practice location

258 Progress Pkwy
Tiffin, OH 44883-2523

Mailing address

258 Progress Pkwy
Tiffin, OH 44883-2523
Phone (419) 443-8505

Other identifiers 1

IdentifierTypeStateIssuer
2610446MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000481 OH Part B Supplier - Clinic/Group Practice 8527090455 Receives reassigned benefits from 2 practitioners
Practice locations: Tiffin, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1045223C D Sears MD Inc258 Progress Parkway, Tiffin, OH 44883Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

258 Progress Pkwy
Tiffin, OH 44883
Phone (419) 443-8505

410 Fair Ln
Tiffin, OH 44883
Phone (419) 443-0071

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1629294368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 PROGRESS PKWY",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832523",
            "telephone_number": "419-443-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PROGRESS PKWY",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832523",
            "telephone_number": "419-443-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD SEARS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-443-8520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35086480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2610446",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.