National Provider Identifier Database

CHARLES G SEWALL, MD – NPI #1750374476
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

CHARLES G SEWALL, MD
800 OAK RIDGE TPKE
SUITE C-100
OAK RIDGE, TN37830-6957
Phone: 865-483-2288
Fax: 865-482-4400
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for CHARLES G SEWALL

NPI Number 1750374476
Credentials MD
Entity Individual
Enumeration date 08/28/2005
Last updated 05/17/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • KY License #: 28475
  • TN License #: 021441
  • KY Medicaid: 64799125
  • TN Medicaid: 3059927
  • KY Other: 000000252844 ANTHEM BLUE CROSS
  • KY Other: 620897289002 BLUEGRASS
  • KY Other: 4532 CHA
  • KY Other: C10003 CUMBERLAND HEALTHCARE
  • TN Other: 4666257 AETNA
  • TN Other: 3028800 BLUE CROSS BLUE SHIELD
  • TN Other: 100020676 PHP TENNCARE
  • TN Other: 62089728903 UHC RIVER VALLEY
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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