Active NPI
Tyler Anderson Clark King, MD
- Hospitalist Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- E-8548
- Practice address
- 2 St Vincent Circle
Little Rock, AR 72205-2936 - Phone
- (501) 552-4677
- Fax
- (501) 552-4555
- NPI assigned
- Apr 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | E-8548 | AR | Primary |
Addresses
Primary practice location
2 St Vincent Circle
Little Rock, AR 72205-2936
Mailing address
PO Box 23410
Little Rock, AR 72221-3410
Phone (501) 224-1690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204637001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666
7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8548 | AR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group | Current | Accepting new patients | |
| St Vincent Physician Clinics LLC | Past | Accepting new patients |
Locations
16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
5125 Northshore Dr
North Little Rock, AR 72118
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.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
-
- Hospitalist Physician
- Morrilton, AR
- NPI 1992137236
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134558398
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Crossett, AR
- NPI 1952308215
-
- Critical Access Hospital
- Nashville, AR
- NPI 1851484695
-
- Critical Access Hospital
- Morrilton, AR
- NPI 1891778049
-
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
-
- General Acute Care Hospital
- Sherwood, AR
- NPI 1629011002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1811287857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23410",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722213410",
"telephone_number": "501-224-1690",
"fax_number": "501-224-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ST VINCENT CIRCLE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052936",
"telephone_number": "501-552-4677",
"fax_number": "501-552-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "TYLER",
"middle_name": "ANDERSON CLARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-8548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204637001",
"state": "AR"
}
],
"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 May 18, 2023; 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.