KATHERINE A. GHANAYEM M.D. – NPI #1609037100
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

KATHERINE GHANAYEM is a physician located in FORT WORTH, TX. NPPES has assigned the NPI number 1609037100 to KATHERINE GHANAYEM on June 18, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KATHERINE ANN KNOLL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Apr 26, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHERINE GHANAYEM below.

NPI Profile for
KATHERINE A. GHANAYEM

NPI Number
1609037100
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHERINE A. GHANAYEM
Former Name: KATHERINE ANN KNOLL
Credentials
M.D.
Primary location
4400 HERITAGE TRACE PKWY
FORT WORTH, TX 76244-8901
Phone: (701) 471-9606 Fax:
Mailing address
9445 N BEACH ST
FORT WORTH, TX 76244-9059
Phone: (701) 471-9606 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TX Q0952
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.