Provider Demographics
NPI:1144297201
Name:SEARING, MICHAEL A (CRNA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:SEARING
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 BAY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-9454
Mailing Address - Country:US
Mailing Address - Phone:318-965-9824
Mailing Address - Fax:318-965-4635
Practice Address - Street 1:2600 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3908
Practice Address - Country:US
Practice Address - Phone:318-212-4000
Practice Address - Fax:318-212-8650
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARNO45386 APO2306367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1953806Medicaid
LA1953806Medicaid
LA48522C734Medicare PIN