Provider Demographics
NPI:1528031721
Name:SEARCY, GREGORY DALE (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:DALE
Last Name:SEARCY
Suffix:
Gender:M
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 267119
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43226-7119
Mailing Address - Country:US
Mailing Address - Phone:614-863-3937
Mailing Address - Fax:614-863-5010
Practice Address - Street 1:50 MCNAUGHTEN RD
Practice Address - Street 2:STE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2120
Practice Address - Country:US
Practice Address - Phone:614-863-3937
Practice Address - Fax:614-863-5010
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075785S207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000188211OtherANTHEM
OH2147813Medicaid
G92868Medicare UPIN
OH0874273Medicare PIN
OH000000188211OtherANTHEM
OHSE0874271Medicare ID - Type Unspecified
OHSE0874275Medicare PIN
OH2147813Medicaid