Individual provider Active NPI

Lora Pearlman Collier, M.D.

  • Pediatrics Physician
  • Town and Country, MO
National Provider Identifier
1104003771
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006016374 Issued in MO
Practice address
13001 N Outer 40 Rd Ste 320
Town and Country, MO 63017
Phone
(314) 567-7337
Fax
(314) 851-4476
NPI assigned
Jan 26, 2008
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006016374 MO Primary

Addresses

Primary practice location

13001 N Outer 40 Rd Ste 320
Town and Country, MO 63017

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 567-7337

Other names 1

  • Lora Rebecca Pearlman Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006016374MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Pediatrics PastSince Jun 20, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lora.collier.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1104003771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-567-7337",
            "fax_number": "314-851-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 N OUTER 40 RD STE 320",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-567-7337",
            "fax_number": "314-851-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "LORA",
        "middle_name": "PEARLMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006016374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "PEARLMAN",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Town and Country, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.