Active NPI
Larry Patrick, M.D.
- Anesthesiology Physician
- Searcy, AR
National Provider Identifier
1083652143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C5298
- Practice address
- 3214 E Race Ave
Searcy, AR 72143-4810 - Phone
- (501) 268-6121
- NPI assigned
- Jun 2, 2006
- Last updated
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C5298 | AR | Primary |
Addresses
Primary practice location
3214 E Race Ave
Searcy, AR 72143-4810
Mailing address
PO Box 144
Searcy, AR 72145-0144
Phone (501) 279-2426
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129983001 | Medicaid | AR | |
| P00432084 | Other | AR | RR MEDICARE GRP# CD7786 |
| 5K151 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5298 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonesboro Anesthesia Inc | Anesthesiology | Past | Accepting new patients |
| Suburban Anesthesia, PSC | Anesthesiology | Past | Accepting new patients |
| Pinnacle Anesthesia Consultants, PLLC | Past | Accepting new patients | |
| Pinnacle Anesthesia Consultants PLLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia and Pain Management Assoc., P.a. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Searcy, AR
- NPI 1689621245
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- Jonesboro, AR
- NPI 1043228448
-
- Specialist
- Little Rock, AR
- NPI 1295825354
-
- Anesthesiology Physician
- Chandler, AZ
- NPI 1629499009
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1265444558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1083652143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144",
"city": "SEARCY",
"state": "AR",
"postal_code": "721450144",
"telephone_number": "501-279-2426",
"fax_number": "501-279-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 E RACE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434810",
"telephone_number": "501-268-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "LARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "C5298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129983001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GRP# CD7786",
"identifier": "P00432084",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5K151",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.