DR. KENNA J STEPHENSON (NPI# 1962697755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962697755 |
| Entity Type | Individual |
| Full Name | DR. KENNA J STEPHENSON |
| Credential | MD |
| Practice Address |
11937 Hwy 271 Tyler TX 75708-3154 |
| Mailing Address |
Po Box 847824 Dallas TX 75284-7824 |
| Practice Telephone | 9038772827 |
| Practice Fax Number | 9038775661 |
| Mailing Telephone | 9038772827 |
| Mailing Fax Number | 9038775661 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H8435 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
11937 HWY 271 |
| City | TYLER |
| State | TX |
| Zip Code | 75708-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396717294 | Lisa K Skariah | Pharmacist | 11937 Hwy 271, Tyler, TX 75708-3154 | 2006-02-03 |
| 1891287868 | Lisa Milstead | Physical Therapist | 11937 Hwy 271, Tyler, TX 75708-3154 | 2018-06-05 |
| 1033556170 | Jackie Lynn Mcdonald | Registered Nurse | 11937 Hwy 271, Tyler, TX 75708-3154 | 2013-05-30 |
| 1619148392 | Nasir Hussain | Internal Medicine | 11937 Hwy 271, Tyler, TX 75708-3154 | 2008-03-20 |
| 1285803932 | University of Texas Health Center At Tyler | Counselor | 11937 Hwy 271, Tyler, TX 75708-3154 | 2008-02-27 |
| 1568651446 | Janet B Seliga | Nurse Practitioner | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-10-17 |
| 1447446653 | James R Menard | Family Medicine | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-09-20 |
| 1770778565 | Russell W Hayes | Physician Assistant | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
| 1932761640 | Michael Watkins | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-07-02 |
| 1760042881 | Fahad Noman | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-20 |
| 1538729652 | Elizabeth Garza | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-20 |
| 1235799081 | Haven Price | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-14 |
| 1437719283 | Christopher Schrupp | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-14 |
| 1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
| 1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
| 1164088167 | Anand Jayanti | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-15 |
| Find all providers in zip 75708 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632553 | Christina Kay Baker | Family Medicine | 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 | 2020-02-21 |
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1396389870 | Shelly Lynn Williams | Family Medicine | 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 | 2019-10-29 |
| 1891354494 | Beverly Diann Butler | Family Medicine | 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 | 2019-06-07 |
| 1851846018 | Thomas Mason Worthington Jr. | Family Medicine | 9141 Chisholm Trl, Tyler, TX 75703-0409 | 2016-08-17 |
| 1881069557 | The Bradley Clinic of Texas, Pllc | Family Medicine | 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 | 2015-12-07 |
| 1750764189 | Diabetic Renewal Center LLC | Family Medicine | 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 | 2015-07-02 |
| 1013306273 | Pure Radiance Laser Retreat | Family Medicine | 6722 S Broadway Ave, Tyler, TX 75703-4730 | 2015-01-12 |
| 1023412988 | James Kent Gray | Family Medicine | 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 | 2014-10-21 |
| 1346640182 | Morris Mht LLC | Family Medicine | 2030 Stonegate Blvd, Tyler, TX 75703-0103 | 2014-08-29 |
| Find all providers in TYLER | ||||
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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.