Kristofer Gibson Sandlund
ZANESVILLE FAMILY PRACTICE INC


Address: 1215 Newark Rd, Zanesville, OH 43701-2620
Phone: 7404527359

Kristofer Gibson Sandlund (NPI# 1407844749, PAC ID# 4284655432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1407844749
PAC ID by PECOS 4284655432
Professional Enrollment ID I20100722000008
Full Name Kristofer Gibson Sandlund
Organization Legal Name ZANESVILLE FAMILY PRACTICE INC
Address 1215 Newark Rd
Zanesville
OH 43701-2620
Phone Number 7404527359
Gender M
Medical School OHIO UNIVERSITY OF OSTEO MEDICINE
Graduation Year 1981
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 9830110089
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360039 GENESIS HOSPITAL

Other Locations

Address Phone Organization
1215 Newark Rd, Zanesville, OH 43701-2620 7404527359 ZANESVILLE FAMILY PRACTICE INC

Organization Information

Organization Legal Name ZANESVILLE FAMILY PRACTICE INC
Physicians 1

Office Location

Street Address 1215 NEWARK RD
City ZANESVILLE
State OH
Zip 43701-2620

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Competitor

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City ZANESVILLE
Zip Code 43701
Specialty FAMILY MEDICINE
City + Specialty ZANESVILLE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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