KATHLEEN W PAULSON (NPI# 1962431460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962431460 |
Entity Type | Individual |
Full Name | KATHLEEN W PAULSON |
Credential | MD |
Practice Address |
63 W Sunbridge Dr Fayetteville AR 72703-1825 |
Mailing Address |
Po Box 8158 Fayetteville AR 72703-0003 |
Practice Telephone | 4795823366 |
Practice Fax Number | 4795825843 |
Mailing Telephone | 4795823366 |
Mailing Fax Number | 4795825843 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2011-12-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
E-2446 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | AR BC/BS | 5L405 | 01 |
AR | 140580001 | 05 | |
AR | RR MCR | P00315084 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427426972 | Kathleen Paulson | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2015-09-14 |
1962592949 | Kathleen Paulson | Social Worker | 115 Carleton Ave, Central Islip, NY 11722-3619 | 2006-10-13 |
1881780104 | Kathleen A. Paulson | Social Worker | 2633 S Lapeer Rd, Orion, MI 48360-2810 | 2006-10-05 |
Street Address |
63 W SUNBRIDGE DR |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-1825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902832660 | Janet Lynn Titus | General Practice | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-24 |
1205025269 | Whitney Brooke Ward | Nurse Practitioner | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2007-10-16 |
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 | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
1376689067 | Barbara Attura O'brien | Obstetrics & Gynecology | 123 Kathi Ave, Fayetteville, GA 30214-1691 | 2007-01-29 |
1194751164 | Elizabeth Ann Woods | Obstetrics & Gynecology | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-06-23 |
1508865965 | Fayetteville Women's Clinic | Obstetrics & Gynecology | 1011 N College Ave, Fayetteville, AR 72701-2012 | 2005-07-19 |
1396748562 | Gerianne C Geszler | Obstetrics & Gynecology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2005-05-23 |
1205449691 | Washington Regional Medical System | Obstetrics & Gynecology | 3561 Johnson Mill Blvd, Suite 102, Fayetteville, AR 72704 | 2020-08-26 |
1417167446 | Women's Community Care, PC | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2007-05-22 |
1417964990 | Maryann Elizabeth Millar | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2006-08-01 |
1881639110 | Georgia Urogynecology, PC | Obstetrics & Gynecology | 1260 Highway 54 W, Fayetteville, GA 30214-4514 | 2006-06-19 |
1003856287 | William Dana Haithcock | Obstetrics & Gynecology | 2029 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-06-07 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on KATHLEEN W PAULSON.
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.