KENNETH LEE SANDOCK (NPI# 1841251733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841251733 |
| Entity Type | Individual |
| Full Name | KENNETH LEE SANDOCK |
| Credential | M.D. |
| Practice Address |
4175 S Alamo Ave Tucson AZ 85707-6097 |
| Mailing Address |
8311 E Crestwood Cir Tucson AZ 85750-2413 |
| Practice Telephone | 5202282870 |
| Mailing Telephone | 5202984677 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01022330A | IN | Other Service Providers |
| Y | 174400000X | Specialist | 14232 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 237017 | 05 |
| Street Address |
4175 S ALAMO AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85707-6097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956387 | Kyle Lynn Craver | Military Health Care Provider | 4175 S Alamo Ave, Tucson, AZ 85707 | 2019-01-16 |
| 1396216099 | Laura Bette | Social Worker | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-12-07 |
| 1679048250 | Lam T Chung | Pharmacist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-10-10 |
| 1811477235 | Alan Thatcher Price | Military Health Care Provider | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-08-15 |
| 1841776101 | Kimberly Johnson | Nurse Practitioner | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-07-19 |
| 1457868598 | Kristina Marie Linden | Social Worker | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-01-10 |
| 1235668054 | Joseph Anthony Everett | Dentist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2017-06-06 |
| 1407205743 | Eun Soo David Park | Family Medicine | 4175 S Alamo Ave, Tucson, AZ 85707 | 2016-06-07 |
| 1477907590 | Vanessa F Scheirer | Physical Therapist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2016-04-14 |
| 1164883104 | Marc Enslow | Dentist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2016-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781048 | G Mason Garcia Md Pllc | Specialist | 6565 E Carondelet Dr Ste 225, Tucson, AZ 85710-3533 | 2017-10-12 |
| 1306362306 | Kirsten Voris | Specialist | 3319 E Linden St, Tucson, AZ 85716-3237 | 2017-08-21 |
| 1700332574 | Linda M Hixson | Specialist | 2122 N Craycroft Rd Suite 12, Tucson, AZ 85712-2849 | 2016-08-31 |
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1730551482 | Marjorie Elaine Mcginnis | Specialist | 1601 N Tucson Blvd Ste 6, Tucson, AZ 85716-3404 | 2015-10-21 |
| 1740662634 | Melissa Stablein | Specialist | 2559 E Fort Lowell Rd, Tucson, AZ 85716-1540 | 2015-06-26 |
| 1477984573 | David Lewis Earnest IIi | Specialist | 5225 N Calle Ladero, Tucson, AZ 85718-4917 | 2013-11-29 |
| 1174957260 | Alexa Iwaniuk | Specialist | 3357 N Country Club Rd, Apt 9, Tucson, AZ 85716-1367 | 2013-08-26 |
| 1558794842 | Gary Wayne Metz | Specialist | 6831 E Rosewood Cir, Tucson, AZ 85710-1215 | 2013-08-09 |
| 1265874580 | Darlene L Zimmer | Specialist | 8797 N Norway Spruce Rd, Tucson, AZ 85743-7151 | 2013-07-28 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on KENNETH LEE SANDOCK.
| 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.