Active NPI
Total Care Physician, Inc.
- Internal Medicine Physician
- Little Rock, AR
National Provider Identifier
1841575297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E5874
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178494001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI 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.