STEPHEN PATRICK PENOR (NPI# 1063402519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063402519 |
| Entity Type | Individual |
| Full Name | STEPHEN PATRICK PENOR |
| Credential | M.D. |
| Practice Address |
3633 Central Avenue Suite D Hot Springs AR 71913-6475 |
| Practice Telephone | 5016236693 |
| Practice Fax Number | 5016239403 |
| Mailing Telephone | 5016236693 |
| Mailing Fax Number | 5016239403 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | E3410 | AR | Other Service Providers |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
E-3410 | AR | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E-3410 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 157515001 | 05 | |
| AR | STATE LICENSE | E3410 | 01 |
| DEA LICENSE | BP8068163 | 01 |
| Street Address |
3633 CENTRAL AVENUE SUITE D |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-6475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604516 | Cecil Watson Cupp IIi | Specialist | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2005-10-26 |
| 1356557771 | Kremer B Nicholas | Radiology | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2007-05-15 |
| 1295858975 | James R Mccarley | Radiology | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2007-04-09 |
| 1134177256 | Spring Creek Surgery Center LLC | Clinic/Center | 3633 Central Avenue, Suite H, Hot Springs, AR 71913 | 2006-05-04 |
| 1982694428 | Mark S Russell | Specialist | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2005-10-26 |
| 1043200587 | Michael Paul Hickman | Specialist | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2005-10-26 |
| 1013907559 | Mark Bruce Robbins | Specialist | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1083677728 | St.joseph's Pet Center LLC | Radiology | 1 Mercy Lane, Suite 105, Hot Springs, AR 71913 | 2006-04-11 |
| 1417910027 | Arkansas Radiology Affiliates, P.a. | Radiology | 106 Saddlebrook Ct, Hot Springs, AR 71901-8061 | 2006-04-07 |
| 1356557771 | Kremer B Nicholas | Radiology | 3633 Central Avenue, Suite D, Hot Springs, AR 71913-6475 | 2007-05-15 |
| 1861577892 | Garry D Strauser | Radiology | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-10-26 |
| 1861402059 | Claude E Fendley | Radiology | 1661 Airport Rd, Suite D, Hot Springs, AR 71913-7951 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668357 | Medical Associates of Northwest Arkansas, Pa | Radiology | 3901 Parkway Cir Ste 125, Springdale, AR 72762-6362 | 2020-10-30 |
| 1144853821 | Resort Radiology, Pllc | Radiology | 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 | 2020-02-20 |
| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| 1750848552 | Tamesha Green | Radiology | 3204 Salinas De Hidalgo, North Little Rock, AR 72118-1167 | 2019-02-27 |
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| 1134460280 | William T Shultz | Radiology | 908 Redbud Dr, Mena, AR 71953-2537 | 2013-03-13 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
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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.