Organization Active NPI

Total Care Physician, Inc.

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1841575297
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E5874 Issued in AR
Legal business name
TOTAL CARE PHYSICIAN, INC.
Practice address
1 Saint Vincent Cir
Suite 330
Little Rock, AR 72205-5405
Phone
(501) 353-2328
Fax
(501) 353-2491
NPI assigned
Oct 18, 2011
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Kristy King, MD
Title
Owner
Phone
(501) 353-2328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E5874 AR Primary

Addresses

Primary practice location

1 Saint Vincent Cir
Suite 330
Little Rock, AR 72205-5405

Mailing address

1 Saint Vincent Cir
Suite 330
Little Rock, AR 72205-5405
Phone (501) 353-2328

Other identifiers 1

IdentifierTypeStateIssuer
178494001MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1841575297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR",
            "address_2": "SUITE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055405",
            "telephone_number": "501-353-2328",
            "fax_number": "501-353-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR",
            "address_2": "SUITE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055405",
            "telephone_number": "501-353-2328",
            "fax_number": "501-353-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PHYSICIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-353-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E5874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178494001",
            "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 Jul 17, 2014; 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.