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KING DERMATOLOGY
NPI 1619107398
Dermatology in Mountain Home, AR

Active since July 16, 2009CLIA 04D2229479 · Waiver
2062 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653(870) 425-5464(870) 425-5465 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Dec 31, 2018, Dec 17, 2018 (3 updates tracked since 2018).

About King Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING DERMATOLOGY (NPI 1619107398) is a healthcare organization registered as a dermatology in Mountain Home, Arkansas and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Mark Steven King, Owner, as its authorized official.

NPPES Registry Identity

NPI1619107398
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMARK S KING, MD, PA
Location Address2062 HIGHWAY 62 WMountain Home, AR 72653-7656
Mailing AddressPo Box 763Mountain Home, AR 72654-0763 · (870) 425-5464 · Fax (870) 425-5465
Phone(870) 425-5464
Fax(870) 425-5465
Organization SubpartNo
Authorized OfficialMark Steven KingOwner · (870) 425-5464
Enumeration DateJuly 16, 2009
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1619107398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AR · E5875
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2062 HIGHWAY 62 W, Mountain Home, AR 72653
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Other Names 1

Doing Business AsKing Dermatology

Other Identifiers 1

Medicaid179411002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2229479

Mark S King MD PA · Mountain Home, AR
Active · expires May 22, 2028
CLIA Number04D2229479
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Lonnie M. Hammonds Jr
Laboratory Phone(870) 425-5464
Laboratory LocationMark S King MD PA2062 Hwy 62 W, Mountain Home, AR 72653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONNIE M HAMMONDS JR. M.D.
Dermatology
2062 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-5464
MRS. KELLY MARIE KRAUSE PA-C
Physician Assistant
2062 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-5464
MRS. MAEGAN LYNN WAGNER ANP
Nurse Practitioner (Family)
2062 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-5464
MARK STEVEN KING M.D.
Dermatology
2062 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653
Baxter County (870) 425-5464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark S King, MD, PA's NPI number?

The NPI number for Mark S King, MD, PA is 1619107398. It was assigned to this organization in the NPPES registry on July 16, 2009. The provider is doing business as King Dermatology.

Where is Mark S King, MD, PA located?

Mark S King, MD, PA is located at 2062 Highway 62 W, Mountain Home, AR 72653. The listed phone number is (870) 425-5464.

What is Mark S King, MD, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Mark S King, MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2229479) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mark S King, MD, PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Mark S King, MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark S King, MD, PA was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.