Provider Demographics
NPI:1730155284
Name:SEARCY, MARY J (MD)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:J
Last Name:SEARCY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 241125
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0003
Mailing Address - Country:US
Mailing Address - Phone:501-529-7355
Mailing Address - Fax:
Practice Address - Street 1:BAPTIST HOSPITAL
Practice Address - Street 2:9601 INTERSTATE 630
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7299
Practice Address - Country:US
Practice Address - Phone:501-372-7140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-5822207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR150357001Medicaid
C58371Medicare UPIN