Organization Active NPI

Paul E. Wylie, M.D., P.a.

  • Specialist
  • Little Rock, AR
National Provider Identifier
1194086967
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N7808 Issued in AR
Legal business name
PAUL E. WYLIE, M.D., P.A.
Practice address
11219 Financial Centre Pkwy
Suite 315
Little Rock, AR 72211-3800
Phone
(501) 661-9191
Fax
(501) 661-1991
NPI assigned
Jun 7, 2012
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dr. Paul E Wylie, M.D.NPI 1114003480
Title
President
Phone
(501) 661-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X N7808 AR Primary

Addresses

Primary practice location

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

Mailing address

11219 Financial Centre Pkwy
Suite 315
Little Rock, AR 72211-3800
Phone (501) 661-9191

National Provider Directory

National Provider Directory

Locations

11219 Financial Centre Pkwy
Ste 210
Little Rock, AR 72211
Phone (501) 661-9191

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1194086967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 315",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113800",
            "telephone_number": "501-661-9191",
            "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": "SUITE 315",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113800",
            "telephone_number": "501-661-9191",
            "fax_number": "501-661-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. WYLIE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-661-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "N7808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.