SCOTT J. SANDERS (NPI# 1972669422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972669422 |
Entity Type | Individual |
Full Name | SCOTT J. SANDERS |
Credential | M.D. |
Practice Address |
1532 Lone Oak Rd Suite 405 Paducah KY 42003-7913 |
Mailing Address |
Po Box 636961 Cincinnati OH 45263-6961 |
Practice Telephone | 2704414300 |
Practice Fax Number | 2704414925 |
Mailing Telephone | 5139815130 |
Mailing Fax Number | 5139815015 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2015-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
40629 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100007440 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770805731 | Scott Edward Sanders | Military Health Care Provider | 5178 Westdale Dr, Apt 4, San Jose, CA 95129-1865 | 2010-02-18 |
1619154242 | Scott David Sanders | Counselor | 67 Sundown Dr, Jackson, TN 38305-7847 | 2008-01-25 |
1073732806 | Scott Ronald Sanders | Dentist | 4005 Main St, Hilliard, OH 43026-1422 | 2007-04-24 |
1558431163 | Scott Edward Sanders | Optometrist | 299 Highway 90, Bay St Louis, MS 39520-3606 | 2006-11-09 |
1902800576 | Scott K Sanders | Psychiatry & Neurology | 3721 Rome Dr, Suite A, Lafayette, IN 47905-4408 | 2005-06-10 |
1245847284 | Scott Sanders | Counselor | 4000 E Main St, Columbus, OH 43213-2950 | 2020-09-24 |
1780243378 | Scott Sanders | Social Worker | 4001 Office Court Dr Ste 603, Santa Fe, NM 87507-4905 | 2019-06-07 |
1861628794 | Scott Sanders | Chiropractor | 29050 S Western Ave, Rancho Palos Verdes, CA 90275-0883 | 2009-06-05 |
1306950696 | Scott William Sanders | Optometrist | 4600 Buffalo Rd, Erie, PA 16510-2207 | 2006-08-17 |
1063463420 | Scott Foster Sanders | Nurse Anesthetist, Certified Registered | 301 Fisher St, Biloxi, MS 39534-2508 | 2006-05-12 |
Street Address |
1532 LONE OAK RD SUITE 405 |
City | PADUCAH |
State | KY |
Zip Code | 42003-7913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001601 | James Shumaker | Pediatrics | 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 | 2005-05-24 |
1790225977 | Tiffany Lynn Cates | Nurse Practitioner | 1532 Lone Oak Rd, Ste 143, Paducah, KY 42003 | 2017-03-07 |
1700258183 | Kimberly Jernigan | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2015-10-26 |
1235505827 | Darrell New I | Nurse Practitioner | 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003-7940 | 2015-08-18 |
1194112755 | Catherine Lee Reimnitz | Nurse Practitioner | 1532 Lone Oak Rd, Suite 345, Paducah, KY 42003-7942 | 2015-04-22 |
1093101958 | Julie Ann Emerine Heeb | Nurse Practitioner | 1532 Lone Oak Rd, Suite 430, Paducah, KY 42003-7913 | 2015-04-07 |
1508115007 | Kristie Hack | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2012-08-30 |
1114285723 | Lance D Williamson | Nurse Practitioner | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2012-05-02 |
1730475302 | Elyse A Hale | Specialist/Technologist, Other | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2011-06-22 |
1134433931 | Deborah Lynn Bray | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2010-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447457247 | Sara Lynnea Cederstrand | Surgery | 1532 Lone Oak Road, Suite 405, Paducah, KY 42003-7942 | 2007-06-27 |
1598095929 | Victoria Ivanukoff | Surgery | 1532 Lone Oak Rd Ste 405, Paducah, KY 42003-7942 | 2010-01-07 |
1467689844 | Griffin Keith Bicking | Surgery | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2009-06-12 |
1821280967 | Western Baptist Medical Ventures, Inc | Surgery | 2603 Kentucky Ave, Suite 103, Paducah, KY 42003-3814 | 2007-08-13 |
1497862080 | Vascular Associates, Pllc | Surgery | 2601 Kentucky Avenue, Suite #202, Paducah, KY 42003-3825 | 2006-08-23 |
1538177084 | Michael James Jones | Surgery | 2601 Kentucky Avenue, Suite #202, Paducah, KY 42003-3825 | 2006-08-03 |
1851397061 | Timothy J Ranval | Surgery | 1532 Lone Oak Rd, Ste 405, Paducah, KY 42003-7913 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932658622 | Center for Vein Restoration Ky, LLC | Surgery | 2054 E Parrish Ave Ste A, Owensboro, KY 42303-1448 | 2016-09-23 |
1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
1073833950 | Chen Rubinstein | Surgery | Cardiac Surgery of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 | 2010-06-02 |
1396064796 | Dong Hee Lee | Surgery | 800 Rose St # C225, Lexington, KY 40536-7001 | 2010-05-25 |
1053638734 | Samuel Chand Tyagi | Surgery | 800 Rose St # C212, Lexington, KY 40536-7001 | 2010-04-21 |
1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
1962432187 | Commonwealth Health Corporation, Inc | Surgery | 825 2nd Ave Ste B1, Bowling Green, KY 42101-1790 | 2006-07-04 |
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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.