TONYA M BALMAKUND (NPI# 1124148028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124148028 |
| Entity Type | Individual |
| Full Name | TONYA M BALMAKUND |
| Other Name | TONYA M PHILLIPS |
| Credential | MD |
| Practice Address |
519 Latham Dr Lowell AR 72745-8360 |
| Practice Telephone | 4797500125 |
| Practice Fax Number | 4797564154 |
| Mailing Telephone | 4797500125 |
| Mailing Fax Number | 4797564154 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
E-1267 | AR | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
35.083195 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169668001 | 05 |
| Street Address |
519 LATHAM DR |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-8360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030295 | Jerie Beth Karkos | Pediatrics | 519 Latham Dr, Lowell, AR 72745-8360 | 2005-11-17 |
| 1245861509 | Phebe Grothaus | Licensed Practical Nurse | 519 Latham Dr, Lowell, AR 72745-8360 | 2020-01-27 |
| 1518505833 | Sydni Anderson | Registered Nurse | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-12-17 |
| 1659922417 | Lindsey Carnes | Psychologist | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-09-24 |
| 1902459399 | Johanna Puff | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-07-24 |
| 1629541214 | Allison Hughes | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2019-01-07 |
| 1700368578 | Danielle Umland Randall | Psychologist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-08-29 |
| 1013498955 | Tami Scott | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-08-28 |
| 1558856393 | Kaylie Camille Hernandez | Day Training/Habilitation Specialist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-06-25 |
| 1417453598 | Brandy Thompson | Developmental Therapist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early 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 |
|---|---|---|---|---|
| 1144596412 | Aravindhan Veerapandiyan | Psychiatry & Neurology | 1 Childrens Way # 512-15, Little Rock, AR 72202 | 2012-03-30 |
| 1336393784 | Debopam Samanta | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2008-11-12 |
| 1316151459 | Virginia Erin Willis | Psychiatry & Neurology | 1 Childrens Way, Slot 512-15, Little Rock, AR 72202-3500 | 2007-05-09 |
| 1669562229 | Gregory Sharp | Psychiatry & Neurology | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1578653135 | Rolla Shbarou | Psychiatry & Neurology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-10-13 |
| 1841380409 | John Bornhofen | Psychiatry & Neurology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-10-13 |
| 1770673279 | Bernadette Lange | Psychiatry & Neurology | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1700977980 | May Louyse Griebel | Psychiatry & Neurology | 800 Marshall St, Ach #653, Little Rock, AR 72202-3510 | 2006-09-27 |
| 1477510733 | Stephen R Bates | Psychiatry & Neurology | 800 S Church St, Ste 400, Jonesboro, AR 72401-4176 | 2006-04-28 |
| 1679530554 | Freedom F Perkins | Psychiatry & Neurology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-04-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TONYA M BALMAKUND.
| 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.