Kristian E Sanchack, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101236109 Issued in VA

Practice address

6100 Greenland Rd Ste 702
Jacksonville, FL 32258-7436

Phone

(904) 560-6257

Fax

(904) 474-8673

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 27, 2024 through Feb 27, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1073697025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 702",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587436",
            "telephone_number": "904-560-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 702",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587436",
            "telephone_number": "904-560-6257",
            "fax_number": "904-474-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHACK",
        "first_name": "KRISTIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME151069",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan Retirement Home
• San Marco Chiropractic and Wellness Center
• San Marco Dentistry
• Tiana San Nicolas Collins
• Danielle Joi Sanchack, PSY.D
• Kimberly H Sanchez Dal Porto, MD
• Natali Sanchez Sacco
• Marisol S Sanchez-Lance, DO
• Luis Sanchez-Ramos, MD
• Anibal A. Sanchez-Salazar, MD

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.