Individual provider Active NPI

Marty Wayne Hearyman, MD

  • Family Medicine Physician
  • Searcy, AR
National Provider Identifier
1174523120
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2849 Issued in AR
Practice address
309 East Race Ave
Searcy, AR 72143-4331
Phone
(501) 209-8232
NPI assigned
Jul 29, 2005
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2849 AR Primary

Addresses

Primary practice location

309 East Race Ave
Searcy, AR 72143-4331

Mailing address

1019 Golf Course Dr
Searcy, AR 72143-4565
Phone (501) 209-8232

Other practice location 1

1100 N University Ave Ste 200
Little Rock, AR 72207-6360
Phone (888) 710-8220

Other practice location 2

136 Health Park Dr
Mena, AR 71953-9072
Phone (888) 710-8220

Other identifiers 1

IdentifierTypeStateIssuer
297799001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040110000214 AR Practitioner - Family Practice 2264331271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2849ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections Incorporated CurrentSince Nov 15, 2022 Accepting new patients
Healthy Connections Incorporated CurrentSince Nov 15, 2022 Accepting new patients
Healthy Connections Incorporated Current Accepting new patients
Healthy Connections Inc Past Accepting new patients
Cabot Healthcare Center, LLC Family Medicine Past Accepting new patients
General Orthopaedics and Spine Services Past Accepting new patients

Locations

1206 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3317

208 McAuley Ct
Ste B
Hot Springs, AR 71913

3604 Central Ave
Ste D
Hot Springs, AR 71913
Phone (501) 318-0646

1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040

900 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-7525

136 Health Park Dr
Mena, AR 71953
Phone (479) 437-6023

534 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-4244

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/izardre-ac18226a

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1174523120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 GOLF COURSE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434565",
            "telephone_number": "501-209-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EAST RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434331",
            "telephone_number": "501-209-8232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722076360",
            "country_code": "US",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Health Park Dr",
            "address_purpose": "LOCATION",
            "city": "Mena",
            "state": "AR",
            "postal_code": "719539072",
            "country_code": "US",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARYMAN",
        "first_name": "MARTY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297799001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.