Active NPI
William Edward Pearson, M.D.
- Obstetrics & Gynecology Physician
- Kirkwood, MO
National Provider Identifier
1073513222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 31792
- Practice address
- 12166 Old Big Bend Rd
Ste 306
Kirkwood, MO 63122-6844 - Phone
- (314) 984-9977
- Fax
- (314) 984-0441
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 31792 | MO | Primary |
Addresses
Primary practice location
12166 Old Big Bend Rd
Ste 306
Kirkwood, MO 63122-6844
Mailing address
12166 Old Big Bend Rd
Ste 306
Kirkwood, MO 63122-6844
Phone (314) 984-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203621503 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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": "1294012800000",
"number": "1073513222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12166 OLD BIG BEND RD",
"address_2": "STE 306",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631226844",
"telephone_number": "314-984-9977",
"fax_number": "314-984-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12166 OLD BIG BEND RD",
"address_2": "STE 306",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631226844",
"telephone_number": "314-984-9977",
"fax_number": "314-984-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "31792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203621503",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
- Pathway Home Care, LLC
- Pathway Home Care, LLC
- Sarah Marie Patterson-Mills, MA/LPC
- Megan Patterson, M. ED, NCC, PLPC
- Charles William Pearson
- Pedaitric Dental and Orthodontic Associates of St Louis
- Amanda Peiffer, D.C.
- Caroline Penberthy, M.S.W., L.C.S.W.
- Maxine Jeanette Pence, LD, RD
- Mallory A. Perry, M.A., L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.