John R. Pearsall, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0058993 Issued in CO

Practice address

691 E Empire St
Cortez, CO 81321-2802

Phone

(970) 335-2232

NPI assigned

Jun 15, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1932192598
  NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407890916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276",
            "telephone_number": "970-335-2236",
            "fax_number": "970-247-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E EMPIRE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212802",
            "telephone_number": "970-335-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "891 W Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044261059",
            "country_code": "US",
            "telephone_number": "207-564-4464",
            "fax_number": "207-564-4461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "15739",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0058993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327950099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russ Alan Patten, LPC
• John William Patton III, MD
• Kerry Jo Paumen, CERTIFIED OPTICIAN
• Tiffanie Payne-Lake
• Jenna Pearce, RN
• Monte Yukio Pescador, LPCC, ACMHC
• John G Petty, MD
• Kenneth Hurd Picillo, CRNA
• Herb B Pike, P.T.
• Kari Plante, RDH

• Pediatrics Physician in Cortez, CO
• Providers in Cortez, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.