NPIMap

Individual provider Active NPI

Paul E. Wylie, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1114003480
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N-7808 Issued in AR
Practice address
11219 Financial Centre Pkwy
Financial Park Place, Suite 315
Little Rock, AR 72211-3800
Phone
(501) 661-9299
Fax
(501) 661-1991
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X N-7808 AR
Psychiatry Physician 2084P0800X N-7808 AR Primary

Addresses

Primary practice location

11219 Financial Centre Pkwy
Financial Park Place, Suite 315
Little Rock, AR 72211-3800

Mailing address

11219 Financial Centre Pkwy
Financial Park Place, Suite 315
Little Rock, AR 72211-3800
Phone (501) 661-9299

Other identifiers 5

IdentifierTypeStateIssuer
116682001MedicaidAR
4250575OtherARAETNA PROVIDER #
492001OtherARUNITEDHEALTHCARE PROV #
9732951002OtherARCIGNA PROVIDER #
260036509OtherARRAILROAD MEDICARE PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N-7808ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ar Center for Sleep Medicine, P.L.L.C. Current Accepting new patients
Maumelle Sleep Solutions, LLC PastSince Apr 30, 2003 Accepting new patients
Arkansas Health Group Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1114003480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY",
            "address_2": "FINANCIAL PARK PLACE, SUITE 315",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113800",
            "telephone_number": "501-661-9299",
            "fax_number": "501-661-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY",
            "address_2": "FINANCIAL PARK PLACE, SUITE 315",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113800",
            "telephone_number": "501-661-9299",
            "fax_number": "501-661-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "PAUL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AR",
            "license": "N-7808",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "N-7808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116682001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4250575",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PROV #",
            "identifier": "492001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "9732951002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "260036509",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.