John M Piersma, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35095620 Issued in OH

Practice address

2727 Madison Rd Ste 205
Cincinnati, OH 45209-2276

Phone

(513) 854-0100

Fax

(513) 586-4904

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1023130499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092276",
            "telephone_number": "513-854-0100",
            "fax_number": "513-586-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092276",
            "telephone_number": "513-854-0100",
            "fax_number": "513-586-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSMA",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35095620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111420",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100108430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Maria Piero, CNP
• Yanick Pierre-Louis
• Rachelle Bernice Pierre-Mathieu, MD, MPP
• Francoise Lyse Pierredon, P.C.
• Joanna Pierri, MA, LPC
• Emily Pierson, PHARMD
• Jacqueline Yvonne Pierson
• Madeline Bridget Pierson, DO
• Molly Dyrsen Pierson, MD
• Samantha Pierson

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.