KATHRYN A PANEK (NPI# 1548381510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548381510 |
| Entity Type | Individual |
| Full Name | KATHRYN A PANEK |
| Credential | MD |
| Practice Address |
74 W Sunbridge Dr Suite 1 Fayetteville AR 72703-1822 |
| Mailing Address |
Po Box 8341 Fayetteville AR 72703-0006 |
| Practice Telephone | 4795825565 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
E-5411 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
74 W SUNBRIDGE DR SUITE 1 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939235 | Ashlyn Perryman | Social Worker | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-12-16 |
| 1982169835 | Craig Olienyk | Counselor | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-02-05 |
| 1033694104 | Mandy Thomas | Case Manager/Care Coordinator | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2018-09-25 |
| 1699277921 | Timneshia Harris | Case Manager/Care Coordinator | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2018-03-02 |
| 1548773153 | Lora Huskison | Case Manager/Care Coordinator | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2017-11-06 |
| 1629484571 | London Lockhart | Counselor | 74 W Sunbridge Dr, Fayetteville, AR 72703 | 2014-07-10 |
| 1467866186 | Savannah Lewis | Counselor | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2014-06-20 |
| 1669806071 | Chulyndria Thomas | Behavioral Analyst | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2013-08-22 |
| 1417111048 | United Methodist Behavioral Health System, Inc. | Clinic/Center | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2008-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366619652 | Alaris Behavioral Services, P.C. | Psychiatry & Neurology | 110 Habersham Dr, Suite 146, Fayetteville, GA 30214-1381 | 2008-05-15 |
| 1689617417 | Norman I Snyder | Psychiatry & Neurology | 4253 N Crossover Rd, Suite 2, Fayetteville, AR 72703-4593 | 2006-06-13 |
| 1538125448 | Eric Jean Lespes | Psychiatry & Neurology | 250 Sawtooth Dr, Fayetteville, NC 28314-4536 | 2006-04-21 |
| 1316118326 | Matthew J. Crouch, Md, Pllc | Psychiatry & Neurology | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2008-03-18 |
| 1659401453 | County of Cumberland | Psychiatry & Neurology | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2007-03-07 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285189290 | John C. Leach, Md Pllc | Psychiatry & Neurology | 75 Wellington Colony Dr, Little Rock, AR 72211-2089 | 2016-08-19 |
| 1326350885 | Nihit Kumar | Psychiatry & Neurology | 4301 W Markham St # 589, Little Rock, AR 72205-7101 | 2010-07-12 |
| 1457679011 | Kelsey L.m. Mcclellan | Psychiatry & Neurology | 124 W Capitol Ave, Suite 1900, Little Rock, AR 72201-3704 | 2010-05-06 |
| 1043331010 | Samuel Tyler Armstrong Bayles | Psychiatry & Neurology | 700 S Schiller St, Little Rock, AR 72201-4735 | 2007-04-03 |
| 1417082710 | Roger Lew Hiatt Jr. | Psychiatry & Neurology | 600 N 7th St, West Memphis, AR 72301-3235 | 2007-02-23 |
| 1467528026 | University of Arkansas for Medical Sciences | Psychiatry & Neurology | 11 Childrens Way # 854, Little Rock, AR 72202 | 2006-11-27 |
| 1801999289 | Thomas W Freeman | Psychiatry & Neurology | 3604 Central Avenue, Suite C, Hot Springs, AR 71913 | 2006-09-07 |
| 1154370518 | Zarina Shah | Psychiatry & Neurology | 5905 Forest Pl, Centers for Youth and Families, Suite 210, Little Rock, AR 72207-5245 | 2006-05-10 |
| 1376518589 | Atif M Akhtar | Psychiatry & Neurology | 350 Salem Rd Ste 1, Conway, AR 72034 | 2006-02-21 |
| 1376057703 | Nancy Hornstein Pa | Psychiatry & Neurology | 1401 Malvern Ave, Hot Springs, AR 71901-6327 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.