Channing Kyle Sanders, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

22360 Issued in LA

Practice address

8120 Main St
Suite 202
Houma, LA 70360-3403

Phone

(985) 223-8994

Fax

(985) 655-8994

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, AR2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Louisiana State University School of Medicine in New Orleans, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Physicians Medical Center Hospital, Houma, LA, CCN 190241
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csanders407893@direct.ochsner.org

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.

• Channing K Sanders, MD, AMC

  • Obstetrics & Gynecology Physician
  • Houma, LA
  • NPI 1912130147
  Medicare reassignment NPD Authorized official
• DHP of Louisiana PC

  • Obstetrics & Gynecology Physician
  • Alexandria, LA
  • NPI 1013303056
  Medicare reassignment NPD
• DHP of Arkansas PA

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
  • NPI 1992068878
  Medicare reassignment
• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  NPD (past)
• Women'S OB-GYN Health & Wellness Center, Apmc

  • Obstetrics & Gynecology Physician
  • Houma, LA
  • NPI 1942360193
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1477509859
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1700846623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-223-8994",
            "fax_number": "985-655-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603403",
            "telephone_number": "985-223-8994",
            "fax_number": "985-655-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CHANNING",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "22360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492906",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam'S Club Optical
• Sams Club Pharmacy 6521
• Sams East Inc
• Taylor Sanderford
• Sanders Dental
• Kevin C Sanders, DMD
• Arunavathi Sangisetty, M.D.
• Sarah Larke Brooke LCSW, LLC
• Robin Sasser, LPC-S
• Mohammed Satter, MD

• Obstetrics & Gynecology Physician in Houma, LA
• Providers in Houma, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.