Kenneth W Stathos

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

Practice address

1111 N 25TH Ave
Hollywood, FL 33020-3405

Phone

(954) 921-6494

NPI assigned

Mar 15, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1740504083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 25TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203405",
            "telephone_number": "954-921-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 25TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203405",
            "telephone_number": "954-921-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHOS",
        "first_name": "KENNETH",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Specialist/Technologist Cardiovascular in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Sonography Specialist/Technologist Cardiovascular in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.