Active NPI
Richard Roy Orr Jr., MD
- Plastic Surgery Physician
- Evansville, IN
National Provider Identifier
1326156175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 01036286A
- Practice address
- 3700 Bellemeade Ave
Suite 112
Evansville, IN 47714-0102 - Phone
- (812) 428-4139
- Fax
- (812) 421-1305
- NPI assigned
- Aug 29, 2006
- Last updated
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 01036286A | IN | Primary |
| Plastic Surgery Physician | 208200000X | 36503 | MO |
Addresses
Primary practice location
3700 Bellemeade Ave
Suite 112
Evansville, IN 47714-0102
Mailing address
3700 Bellemeade Avenue
Suite 112
Evansville, IN 47714-0106
Phone (812) 428-4139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100179990A | Medicaid | IN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036286A | IN | MD | Plastic Surgery Physician |
| 36503 | MO | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1326156175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 BELLEMEADE AVENUE",
"address_2": "SUITE 112",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140106",
"telephone_number": "812-428-4139",
"fax_number": "812-421-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 BELLEMEADE AVE",
"address_2": "SUITE 112",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140102",
"telephone_number": "812-428-4139",
"fax_number": "812-421-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "RICHARD",
"middle_name": "ROY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IN",
"license": "01036286A",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MO",
"license": "36503",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100179990A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.