Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639860430 Individual Practitioner Female Practitioner

Sandra Barsoum

Physician Assistant • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Sandra Barsoum is a registered healthcare professional specializing in Physician Assistant in Melbourne, FL. Practice services are available at 1350 HICKORY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 Hickory St

Melbourne, FL 329013224

Telephone 3214347000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Melbourne, FL (10376 Statewide)

Telehealth Adoption Rate
5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Frances Hibbard , CRNFA

Registered Nurse - Medical-Surgical

NPI 1013994698
Dr. Charles Ehlenberger , MD

Radiology - Diagnostic Radiology

NPI 1063613180

Doctor of Medicine (M.D.)

Sharon Mathier

Social Worker - Clinical

NPI 1073222105
Dr. Dana Mathew , MD

Emergency Medicine

NPI 1073734356

Doctor of Medicine (M.D.)

Teldra Horne , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134921331

Advanced Registered Nurse Practitioner

Corey Wesenberg

Student in an Organized Health Care Education/Training Program

NPI 1154007847

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 03, 2025

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214347000)

📍
Updated Business Mailing Address June 03, 2025

Registered at 1572 LARAMIE CIR, MELBOURNE, FL 329406371

📍
Updated Practice Location March 31, 2025

Registered at 2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 329358303 (Tel: 3215058659)

NPI Profile Active May 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2023

Registered at 720 WESTVIEW DR SW, ATLANTA, GA 303101458 (Tel: 4047561959)

📍
Updated Business Mailing Address May 15, 2023

Registered at 2167 BOLTON DR NW APT 1609, ATLANTA, GA 303189321

👤
Provider Name / Credentials Updated May 15, 2023

Recorded as SANDRA BARSOUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639860430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2023
Last Update: June 03, 2025
Sole Proprietor: No

Mailing Address

1572 Laramie Cir

Melbourne, FL 329406371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.