Active NPI
Robert L Pierron, M.D.
- Orthopaedic Surgery Physician
- Overland Park, KS
National Provider Identifier
1487657409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 04-16839
- Practice address
- 10600 Mastin St
Overland Park, KS 66212-5723 - Phone
- (913) 469-6447
- Fax
- (913) 825-3716
- NPI assigned
- May 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R2A47 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 04-16839 | KS | Primary |
Addresses
Primary practice location
10600 Mastin St
Overland Park, KS 66212-5723
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-6447
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43441V3458 | Other | GHP/ADVANTRA | |
| 9000589 | Other | UHC | |
| 351240001 | Other | CIGNA DMERC | |
| 21192 | Other | MO | BLUE CROSS BLUE SHIELD |
| 82924 | Other | CMR | |
| 102054 | Other | HEALTHLINK | |
| 4422V6097 | Other | HEALTHCARE USA | |
| 2605735 | Other | AETNA | |
| 3053848 | Other | CIGNA |
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 |
|---|---|---|---|
| 04-16839 | KS | MD | Orthopaedic Surgery Physician |
| R2A47 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center, P.a. | 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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1881803229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1487657409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741331",
"telephone_number": "913-469-6447",
"fax_number": "913-338-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MASTIN ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125723",
"telephone_number": "913-469-6447",
"fax_number": "913-825-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRON",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R2A47",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "04-16839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP/ADVANTRA",
"identifier": "43441V3458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "9000589",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DMERC",
"identifier": "351240001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21192",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "82924",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "102054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "4422V6097",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2605735",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3053848",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.