DR. KENAN MILES PENASKOVIC (NPI# 1306954573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306954573 |
| Entity Type | Individual |
| Full Name | DR. KENAN MILES PENASKOVIC |
| Credential | MD |
| Practice Address |
101 Manning Drive Chapel Hill NC 27599-7160 |
| Practice Telephone | 9199664166 |
| Practice Fax Number | 9199662220 |
| Mailing Telephone | 9199664166 |
| Mailing Fax Number | 9199662220 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28791 | AL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
200501818 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
101 MANNING DRIVE |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289824 | Samantha Pulliam | Obstetrics & Gynecology | 101 Manning Drive, Unc Hospitals, Chapel Hill, NC 27514 | 2005-10-21 |
| 1447871322 | Ayat Rafiq Soufan | Social Worker | 101 Manning Drive, Cb 7030, Chapel Hill, NC 27514-4220 | 2020-05-01 |
| 1144840810 | Kaitlyn Elizabeth Dehority | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Department of Physical Medicine and Rehabilitation, Chapel Hill, NC 27514-4226 | 2020-04-22 |
| 1477116937 | Katherine Stuart Dickson | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Unc Department of Psychiatry, Chapel Hill, NC 27514 | 2019-04-19 |
| 1992268205 | Steven James Siano | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Department of Physical Medicine and Rehabilitation, Chapel Hill, NC 27514-4226 | 2019-04-12 |
| 1548722879 | Ryan Taylor Morse | Internal Medicine | 101 Manning Drive, Chapel Hill, NC 27599-8500 | 2019-04-04 |
| 1841757069 | Lucas Stone | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Chapel Hill, NC 27599-3098 | 2019-02-24 |
| 1003300591 | Laura Ashley Keyes | Occupational Therapist | 101 Manning Drive, Chapel Hill, NC 27514 | 2018-06-18 |
| 1780173518 | Derek Hoerres | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb#7525, Chapel Hill, NC 27514 | 2018-05-07 |
| 1073002150 | Johnathan Harry Stathopoulos | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2018-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1386179042 | Erica Swanson Hatch | Psychiatry & Neurology | Unc Dept of Psychiatry 101 Manning Dr, Cb# 7160, Chapel Hill, NC 27599-0001 | 2017-05-01 |
| 1740636448 | Katy Sims | Psychiatry & Neurology | Unc Psychiatry Residency Program, Cb# 7160, G0204 Neurosciences Hospital, Chapel Hill, NC 27599-0001 | 2016-05-11 |
| 1235585233 | Evan Michael Vitiello | Psychiatry & Neurology | General Psychiatry Residency Training, Cb# 7160, G0204 Neurosciences Hospital, Chapel Hill, NC 27599-7160 | 2016-05-09 |
| 1598139552 | Anne Marie Antoinette Riether | Psychiatry & Neurology | 252 Medical School Wing D, Chapel Hill, NC 27599-7176 | 2015-11-13 |
| 1023497831 | Rachel Marie Frische | Psychiatry & Neurology | Unc Psychiatry Residency, Cb# 7160, 10625 Neurosciences Hospital, Chapel Hill, NC 27599-7160 | 2015-05-26 |
| 1629456652 | Douglas Henningsen | Psychiatry & Neurology | Unc Department of Psychiatry Third Floor, Third Floor, Medical School Wing D Campus Box 7160, Chapel Hill, NC 27599-7160 | 2015-05-11 |
| 1639557945 | Michael Kane | Psychiatry & Neurology | Unc Psychiatry Outpatient Clinic Of, Ground Floor Neurosciences Hospital, Campus Box 7160, Chapel Hill, NC 27599-7160 | 2015-05-07 |
| 1316358237 | Takahiro Soda | Psychiatry & Neurology | 1 St Fl Neurosci, Chapel Hill, NC 27599-0001 | 2014-05-13 |
| 1790196681 | William David Scheidler | Psychiatry & Neurology | Unc Department of Psychiatry 101 Manning Dr, Cb#7160, Chapel Hill, NC 27599-0001 | 2014-05-13 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.