Ruth Ann Reardon, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

E-5277 Issued in AR

Practice address

1915 W Beebe Capps Expy
Searcy, AR 72143-5012

Phone

(501) 268-8175

Fax

(501) 268-8337

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lab of Path, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Searcy, AR
  • NPI 1639397953
  Medicare reassignment NPD
• Pathology Services Laboratory PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Russellville, AR
  • NPI 1831158369
  Medicare reassignment NPD
• White County Medical Center

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment NPD
• Lab of Path, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Searcy, AR
  • NPI 1831167196
  NPD
• Pathology Services Laboratory PA

  • Clinical Medical Laboratory
  • Russellville, AR
  • NPI 1093889347

  Anatomic Pathology & Clinical Pathology

  NPD
• White County Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Searcy, AR
  • NPI 1497291520
  NPD
• White County Medical Center

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1497739668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435012",
            "telephone_number": "501-268-8175",
            "fax_number": "501-268-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435012",
            "telephone_number": "501-268-8175",
            "fax_number": "501-268-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2006-01883",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E-5277",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2007026053",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000044093",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "20916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N951",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165452001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devanee Miranda Ray, APRN - FNP-C
• Laura Ann Ray, LPN
• Reaper Physical Therapy Inc
• Louis Frank Reaper, PT MS GCS
• Joseph William Reardon III, MD
• Shanda Lynn Reavis
• Vicki Rebhahn
• Wynette Reece, RT, RPA (CBRPA)
• Amber Reed, PHARMD
• Audriana Reed

• Anatomic Pathology & Clinical Pathology Physician in Searcy, AR
• Providers in Searcy, AR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.