Organization Active NPI

Juan J. Pineda, P.C.

  • Gastroenterology Physician
  • Columbia, MO
National Provider Identifier
1598896664
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JUAN J. PINEDA, P.C.
Practice address
3300 Vawter School Rd
Columbia, MO 65203-8609
Phone
(573) 445-9764
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mrs. Cheryl Lynn Haynie
Title
Office Manager
Phone
(573) 445-9764

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X R3P42 MO
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3300 Vawter School Rd
Columbia, MO 65203-8609

Mailing address

3300 Vawter School Rd
Columbia, MO 65203-8609
Phone (573) 445-9764

Other identifiers 2

IdentifierTypeStateIssuer
206996613MedicaidMO
DG1835OtherMORAILROAD MEDICARE

Other names 1

  • Juan J. Pineda, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

210 Portland St
Ste 104
Columbia, MO 65201
Phone (573) 876-1788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1598896664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 VAWTER SCHOOL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038609",
            "telephone_number": "573-445-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 VAWTER SCHOOL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038609",
            "telephone_number": "573-445-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN J. PINEDA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-445-9764",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R3P42",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206996613",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1835",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juan J. Pineda, M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Juan J. Pineda, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.