KYLE SANNIEC


Address: 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402
Phone: 6023317811

KYLE SANNIEC (NPI# 1912340043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912340043
Entity Type Individual
Full Name KYLE SANNIEC
Credential MD
Practice Address 9250 N 3rd St Ste 1003
Phoenix
AZ 85020-2402
Practice Telephone 6023317811
Mailing Telephone 6023317811
Enumeration Date 2013-04-08
Last Update Date 2020-07-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
60973 AZ Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 752357708 2145908058

Office Location

Street Address 9250 N 3RD ST STE 1003
City PHOENIX
State AZ
Zip Code 85020-2402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902929508 Lewis Albert Andres Plastic Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2412 2007-04-09
1457969115 Regenerative Institute Pllc Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2020-07-20
1508421819 Phoenix Plastic Surgery, Pllc Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2019-05-02
1538685714 Advanced Reconstructive Surgical Associates Pllc Plastic Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2017-08-18
1326453069 Advanced Reconstructive Surgeons Pllc Specialist 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2014-06-20
1386886943 Roni Benjamin Prucz Plastic Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2009-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124683537 Joseph A Jones Pharmacist 7543 N 20th St, Phoenix, AZ 85020 2019-05-01
1871022210 Amber L Enright Physical Therapist 1675 E Morten Ave, 4155, Phoenix, AZ 85020 2017-06-08
1518407683 Harmony Dental Partners, LLC Dentist 7150 North 7th Street, Phoenix, AZ 85020 2017-03-08
1104369495 Michelle Mastro Registered Nurse 1234 E. Northern Avenue, Phoenix, AZ 85020 2016-11-18
1912363003 Charles D. Atkinson Social Worker 1716 East Seldon Lane, Phoenix, AZ 85020 2016-01-06
1477928471 Erin Testa Psychologist 7600 N 16th St Ste 218, Phoenix, AZ 85020 2015-12-02
1972977569 Borpan Monitoring, Pllc Psychiatry & Neurology 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 2015-11-19
1275906984 Summer Macey Nurse Practitioner 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 2015-11-03
1356712772 Maurie S Comenzo Clinic/Center 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 2015-10-12
1700260692 Stansberry Family Dentistry Pllc Dentist 7501 N. 16th St. #100, Phoenix, AZ 85020 2015-07-10
Find all providers in zip 85020

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144430182 Jason Lee Mussman Surgery 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 2007-05-22
1801832977 Tamir Mosharrafa Surgery 4611 E Shea Blvd Ste 230, Phoenix, AZ 85028 2006-06-20
1598705410 Robert J Mcgregor Surgery 7601 N Central Ave, Unit 23, Phoenix, AZ 85020-4079 2006-06-08
1457303471 Ali M Mosharrafa Surgery 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 2006-05-17
1730138561 Travis C Holcombe Surgery 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3420 2006-05-09
1104817378 Barry Fernando Surgery 2777 E Camelback Rd Ste 140, #780, Phoenix, AZ 85016-4351 2005-11-04
1275521635 Marc E Gottlieb Surgery 1012 E Willetta Street, Phoenix, AZ 85006 2005-10-10
1457969115 Regenerative Institute Pllc Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2020-07-20
1164058954 Leland H Webb Md Plastic Surgery Plc Surgery 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3476 2020-03-12
1508421819 Phoenix Plastic Surgery, Pllc Surgery 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 2019-05-02
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85020

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Dataset Information

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.

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