Kathleen W Paulson, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

E-2446 Issued in AR

Practice address

63 W Sunbridge Dr
Fayetteville, AR 72703-1825

Phone

(479) 582-3366

Fax

(479) 582-5843

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University of Arkansas

  • Speech-Language Pathologist
  • Fayetteville, AR
  • NPI 1972726578
  NPD (past)
• Washington Regional Medical System

  • Obstetrics & Gynecology Physician
  • Fayetteville, AR
  • NPI 1760432629
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1962431460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8158",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030003",
            "telephone_number": "479-582-3366",
            "fax_number": "479-582-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031825",
            "telephone_number": "479-582-3366",
            "fax_number": "479-582-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "KATHLEEN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "E-2446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140580001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BC/BS",
            "identifier": "5L405",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00315084",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Patty, LAC
• Austin Paul
• Pat Paul
• Lauren Cantwell Paulk, MD
• Pauls Rheumatology Clinic, Incorporated
• Sasin Payakachat, MD
• Kanisha Sade Payne
• Michael Davis Payne II, MD
• Steven William Payne, DDS
• Terry S Payton, MD

• Gynecology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.