KENTON LEE HAGAN (NPI# 1235524653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235524653 |
| Entity Type | Individual |
| Full Name | KENTON LEE HAGAN |
| Practice Address |
3900 N Parkview Dr Fayetteville AR 72703-6398 |
| Practice Telephone | 4799664187 |
| Practice Fax Number | 4799664197 |
| Mailing Telephone | 4799664187 |
| Mailing Fax Number | 4799664197 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | E-12883 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
3900 N PARKVIEW DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-6398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483055 | David Erik Yakin | Orthopaedic Surgery | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2006-01-30 |
| 1609417286 | Olivia Fritsche | Physician Assistant | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2019-10-04 |
| 1295292332 | Lyndsey Whitaker | Nurse Practitioner | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2019-02-25 |
| 1891260774 | Scott M Van Camp | Physical Therapist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2018-10-08 |
| 1326534322 | Alex P Laferney | Physical Therapist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2018-07-03 |
| 1700384716 | Natalie Renee Hopkins | Nurse Practitioner | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2018-01-24 |
| 1063962470 | Chelsey Nicole Price | Physical Therapist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2016-10-10 |
| 1700236221 | Joshua D Staggs | Physical Therapist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2016-06-15 |
| 1134596125 | Jessica Marie Shepherd | Clinical Nurse Specialist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2015-08-26 |
| 1063826154 | Zachary Allen Snow | Physical Therapist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2014-06-17 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123578 | Resurgens, PC | Orthopaedic Surgery | 1336 Highway 54 W Ste B, Fayetteville, GA 30214-4573 | 2017-06-07 |
| 1164700068 | Nwa Orthopaedic Consulting, Pa | Orthopaedic Surgery | 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 | 2011-07-26 |
| 1982809240 | Jason C Eck | Orthopaedic Surgery | 4140 Ferncreek Dr Ste 801, Fayetteville, NC 28314-2572 | 2007-06-18 |
| 1588876791 | Powell Orthopedics, Pa | Orthopaedic Surgery | 3714 N Business Dr Ste 101, Fayetteville, AR 72703-5289 | 2007-05-03 |
| 1316166648 | Wesley Kent Cox | Orthopaedic Surgery | 201 W. Van Asche Loop, Fayetteville, AR 72703-4999 | 2007-04-25 |
| 1073670360 | Daniel B. Judd | Orthopaedic Surgery | 0 Normandy Dr, Department of Orthopaedics, Fayetteville, NC 28307-3465 | 2007-01-03 |
| 1265465157 | Navin R Kilambi | Orthopaedic Surgery | 201 W Van Asche Loop, Fayetteville, AR 72703-4996 | 2006-07-07 |
| 1861441198 | Robert J Tomlinson Jr. | Orthopaedic Surgery | 103 N College Ave Ste 4, Fayetteville, AR 72701-5361 | 2006-05-05 |
| 1750346060 | Brett B Greenky | Orthopaedic Surgery | 4115 Medical Center Dr, Fayetteville, NY 13066-6636 | 2006-04-19 |
| 1982676292 | Maurice Lamont Goins | Orthopaedic Surgery | 1336 West Highway 54, Bldg 500, Fayetteville, GA 30214 | 2006-02-02 |
| Find all providers in FAYETTEVILLE | ||||
| 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.