MATTHEW W MAREADY MD NPI 1174872485

NPI Information

  • NPI: 1174872485
  • Provider Name: MATTHEW W MAREADY, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 CHILDRENS WAY # 512
    LITTLE ROCK, AR
    ZIP 72202
  • Phone: (501) 364-1100

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NPI Details

Matthew W Maready, MD is a pediatric emergency medicine pediatrics in Little Rock, AR with 15 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Matthew W Maready, MD NPI is 1174872485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

1 CHILDRENS WAY # 512
LITTLE ROCK, AR
ZIP 72202-500
Phone: (501) 364-1100
Fax: (501) 364-4082

The NPI 1174872485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 6/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0204XPediatricsPediatric Emergency Medicine25668MISSISSIPPINo
22080P0204XPediatricsPediatric Emergency MedicineE-19130ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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