Kenton Sanders, MD

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

200400256 Issued in NC

Practice address

1414 Physicians Dr
Wilmington, NC 28401-7335

Phone

(910) 796-7900

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lower Cape Fear Hospice, Incorporated

  dba Lower Cape Fear LifeCare

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wilmington, NC
  • NPI 1790258234
  Medicare reassignment NPD
• Lifecare Supportive Medicine Incorporated

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wilmington, NC
  • NPI 1316804446
  Medicare reassignment
• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255
  NPD
• Catawba Valley Medical Center

  dba CVMC Maternity Services

  • Obstetrics Physician
  • Hickory, NC
  • NPI 1285929554
  NPD
• Lower Cape Fear Hospice Incorporated

  dba Lower Cape Fear Lifecare

  • Case Management Agency
  • Wilmington, NC
  • NPI 1669012563
  NPD
• Lower Cape Fear Hospice Incorporated

  dba Lower Cape Fear LifeCare

  • Community Based Hospice Care Agency
  • Wilmington, NC
  • NPI 1912962697

  Hospice and Palliative Medicine

  NPD (past)
• Pureview Health Center

  dba PureView HMS

  • Federally Qualified Health Center (FQHC)
  • Helena, MT
  • NPI 1831916659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1043204449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017335",
            "telephone_number": "910-796-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017335",
            "telephone_number": "910-796-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KENTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2004-00256",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "200400256",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200400256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913632",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "13632",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector Ivan Sanchez, MD
• Sand Dollar Wellness Center, P.C.
• Amanda Nicole Sanders, PA-C
• India Lynne Sanders, L.AC., L.M.B.T.
• John W Sanders III, MD, MPH
• Yadvinder K Sandhu, MD
• Lauren Sandy
• Denise Renee Sanfilippo, DNP, FNP-C
• Christine Sanford, NP
• Whiyie Alfonso Sang, M.D.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.