SAMUEL J SANDERS (NPI# 1811384175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811384175 |
| Entity Type | Individual |
| Full Name | SAMUEL J SANDERS |
| Practice Address |
75-127 Lunapule Rd Ste 14 Kailua Kona HI 96740-2119 |
| Mailing Address |
77-6548 Princess Keelikolani Dr Kailua Kona HI 96740-4455 |
| Practice Telephone | 8089363934 |
| Mailing Telephone | 5753020012 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 14169 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477664100 | Samuel Bret Sanders | Dentist | 1507 Lamy Ln, Suite C, Monroe, LA 71201-3804 | 2006-08-31 |
| 1295783173 | Samuel Hart Sanders | Dentist | 761 W Tunnel Blvd, Suite A, Houma, LA 70360-5544 | 2006-05-04 |
| 1558725143 | Samuel David Sanders IIi | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz Ste 37-384, Ucla Psychiatry Housestaff Office, Los Angeles, CA 90024-5055 | 2016-04-08 |
| 1427299205 | Samuel M Sanders | Orthopaedic Surgery | 1400 Forest Glen Rd, Suite 400, Silver Spring, MD 20910-1459 | 2009-03-09 |
| 1023157658 | Samuel B Sanders | Chiropractor | 500 S Miller Rd, Willard, MO 65781-9753 | 2007-02-06 |
| 1245337401 | Samuel Ray Sanders | Internal Medicine | 2145 5th Ave, Oroville, CA 95965-5870 | 2006-09-20 |
| Street Address |
75-127 LUNAPULE RD STE 14 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1689220337 | Cynthia Cramer | Massage Therapist | 75-127 Lunapule Rd Ste 1b, Kailua Kona, HI 96740-2119 | 2019-08-16 |
| 1225531734 | Kimberly Evans | Massage Therapist | 75-5597 Palani Rd Ste B-1, Kailua Kona, HI 96740-1661 | 2018-03-10 |
| 1316463300 | Marcy H. Latteman | Massage Therapist | 75-5759 Kuakini Hwy Ste 103a, Kailua Kona, HI 96740-1726 | 2017-08-21 |
| 1407378177 | Nicole Camacho | Massage Therapist | 75-5759 Kuakini Hwy Ste 103e, Kailua Kona, HI 96740-1726 | 2017-07-13 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1083004865 | Teresa Navarro | Massage Therapist | 75-5706 Kuakini Hwy, Suite 105, Kailua Kona, HI 96740-1751 | 2015-01-30 |
| 1063857316 | Aiko Joy Bray | Massage Therapist | 75-5626 Kuakini Hwy, Suite 17, Kailua Kona, HI 96740-3609 | 2013-04-30 |
| 1376898858 | Michelle Diane Popp | Massage Therapist | 75-5656 Kuakini Hwy Ste 101b, Kailua Kona, HI 96740-1673 | 2012-07-19 |
| 1215215991 | Karri Lynn Teshima Jr. | Massage Therapist | 74-5620 Palani Rd Ste 100, Kailua Kona, HI 96740 | 2011-07-28 |
| Find all providers in KAILUA KONA | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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| 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.