DR. KENNETH C SANDS (NPI# 1669449575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669449575 |
| Entity Type | Individual |
| Full Name | DR. KENNETH C SANDS |
| Credential | MD |
| Practice Address |
709 S Harbor City Blvd Suite 100 Melbourne FL 32901-1938 |
| Mailing Address |
Po Box 13495 Belfast ME 04915-4025 |
| Practice Telephone | 3217252225 |
| Practice Fax Number | 3213080635 |
| Mailing Telephone | 3217252225 |
| Mailing Fax Number | 3213080635 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME110558 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 055884 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | 14F5Z | 01 |
| GA | 365707881A | 05 | |
| FL | 003912700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804098 | Kenneth Gordon Sands | Urology | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2014-05-22 |
| 1538404801 | Kenneth J Sands | Occupational Therapy Assistant | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2012-11-28 |
| 1528006749 | Kenneth F Sands | Internal Medicine | 330 Brookline Avenue, Beth Israel Deaconess Med Ctr, Boston, MA 02215-5400 | 2006-06-02 |
| Street Address |
709 S HARBOR CITY BLVD SUITE 100 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275521163 | Thomas R Foster | Radiology | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2005-10-13 |
| 1639453012 | Mary C Lombardo | Chiropractor | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2011-10-04 |
| 1770893174 | Dominick Vincent Paluso | Physical Therapist | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2010-10-19 |
| 1508033515 | Select Physical Therapy Holdings Inc | Clinic/Center | 709 S Harbor City Blvd, Ste 100, Melbourne, FL 32901-1938 | 2008-05-09 |
| 1013187681 | Richard James Harrison Jr. | Orthopaedic Surgery | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2008-03-10 |
| 1871700161 | Joseph James Canestrari | Physician Assistant | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2007-05-17 |
| 1285857904 | Ted Ryan Landgraf | Physical Therapist | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2007-04-11 |
| 1497761522 | Shauna Arnold Jacobs | Physical Therapist | 709 S Harbor City Blvd, Suite 100 Greenspoon Orthopaedics, Melbourne, FL 32901 | 2006-07-31 |
| 1881632826 | Steve P. Ryland | Physical Therapist | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2006-06-03 |
| 1639137839 | Robert E. Walsh | Physician Assistant | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748423 | Health First Medical Group, LLC | Orthopaedic Surgery | 205 East Nasa Blvd, Melbourne, FL 32901-1937 | 2019-12-31 |
| 1669621785 | Brandon Daniel Frye | Orthopaedic Surgery | 2010 W Eau Gallie Blvd, Unit 104, Melbourne, FL 32935-4033 | 2008-09-12 |
| 1871601740 | Allison Muia Wade | Orthopaedic Surgery | 930 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1901 | 2006-08-29 |
| 1023053535 | Keith Girton | Orthopaedic Surgery | 7000 Spyglass Ct Ste 310, Melbourne, FL 32940-7948 | 2006-06-18 |
| 1104882539 | Raymond J. Delorenzi | Orthopaedic Surgery | 7970 N Wickham Rd Ste 102, Melbourne, FL 32940-8299 | 2006-04-25 |
| 1407822042 | Daniel N Segina | Orthopaedic Surgery | 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 | 2006-02-24 |
| 1184697450 | Richard Allan Hynes | Orthopaedic Surgery | 2222 S Harbor City Blvd Ste 610, Melbourne, FL 32901-5591 | 2006-02-08 |
| 1689662025 | Robert F Brennan | Orthopaedic Surgery | 1344 S. Apollo Blvd, Ste D, Melbourne, FL 32901 | 2005-10-10 |
| 1831181346 | Daniel L King | Orthopaedic Surgery | 2328 Medico Ln, Melbourne, FL 32940-7406 | 2005-08-19 |
| 1750382289 | Anthony Lombardo | Orthopaedic Surgery | 709 S. Harbor City Boulevard, Suite 100, Melbourne, FL 32901-1936 | 2005-08-09 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on DR. KENNETH C SANDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.