John L Sawtelle, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G0063 Issued in TX

Practice address

218 Park St
Trinidad, TX 75163-6060

Phone

(903) 778-2942

Fax

(903) 778-4534

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1679548366",
    "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": "903-778-4534"
        },
        {
            "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": "903-778-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWTELLE",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S3138",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977073",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TIN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121503005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH - CHIPS",
            "identifier": "124499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John L Sawtelle DO PA
• Deborah A Kelley, PAC
• Gale Melvin Macziewski Jr., D.C.
• Wallace Grey Newman, DDS
• Tim Peele, D.C.
• Trinidad I.S.D.
• Tammy Womack, APRN, FNP-C

• Family Medicine Physician in Trinidad, TX
• Providers in Trinidad, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.