Organization Active NPI

Sewell Plastic Surgery PC

  • Plastic Surgery Physician
  • Mechanicsville, VA
National Provider Identifier
1912192717
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SEWELL PLASTIC SURGERY PC
Practice address
8220 Meadowbridge Rd
Suite 304
Mechanicsville, VA 23116-2336
Phone
(804) 427-7770
NPI assigned
Sep 14, 2007
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Nathan A Sewell, MDNPI 1497850135
Title
Owner
Phone
(804) 427-7770

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
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

8220 Meadowbridge Rd
Suite 304
Mechanicsville, VA 23116-2336

Mailing address

8220 Meadowbridge Rd
Suite 304
Mechanicsville, VA 23116-2336
Phone (804) 427-7770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080407000263 VA Part B Supplier - Clinic/Group Practice 2860579422 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

Locations

8262 Atlee Rd
Ste 204
Mechanicsville, VA 23116
Phone (804) 427-7770

8220 Meadowbridge Rd
Ste 304
Mechanicsvlle, VA 23116
Phone (804) 427-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1912192717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD",
            "address_2": "SUITE 304",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162336",
            "telephone_number": "804-427-7770",
            "fax_number": "804-548-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD",
            "address_2": "SUITE 304",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162336",
            "telephone_number": "804-427-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWELL PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-427-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.