Tyler L Childs, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA807 Issued in AR

Practice address

1000 Hwy 35 N Ste 8
Benton, AR 72019-2353

Phone

(501) 315-4008

Fax

(501) 315-3411

NPI assigned

Nov 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient SolutionsGroup PAC ID 5597195206, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Inpatient Solutions

  • Internal Medicine Physician
  • Benton, AR
  • NPI 1750927109
  Medicare reassignment Care Compare group
• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saline Hospital LLC

  dba Saline Memorial Hospital

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1700354933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720182860",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HWY 35 N STE 8",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192353",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "TYLER",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stan Chester, PD
• Kristen A Childers
• Children'S Evaluation &Counseling Center LLC
• Christopher Childress
• Doris Childress, LMT
• Brittany Chilton
• Jacob Chism, RECOVERY ASSISTANT
• Mary Chism
• Kellee Renea Choate-Roberts
• Cynthia Chow

• Medical Physician Assistant in Benton, AR
• Providers in Benton, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.