Mark S King, MD, PA
NPI 1619107398ActiveOrganization· Dermatology· Mountain Home, AR
Dermatology in Mountain Home, Arkansas, registered in NPPES in July 2009. The authorized official on file is Mark Steven King, M.D., Owner. Enrolled in Medicare as dme supplier - physician - dermatology and part b supplier - clinic/group practice.
Overview
| NPI | 1619107398 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2009 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | E5875 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Dermatology (AR); Part B Supplier - Clinic/Group Practice (AR) |
|---|
Other Dermatology providers in Mountain Home
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