Active NPI
Raymond Hamel Pierson, M.D.
- Orthopaedic Surgery Physician
- Jackson, CA
National Provider Identifier
1720157274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G45467
- Practice address
- 813 Court St Ste 1
Jackson, CA 95642-2131 - Phone
- (209) 257-0513
- Fax
- (209) 257-0516
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G45467 | CA | Primary |
Addresses
Primary practice location
813 Court St Ste 1
Jackson, CA 95642-2131
Mailing address
813 Court St Ste 1
Jackson, CA 95642-2131
Phone (209) 257-0513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G45467 | Other | CA | LICENSE |
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 |
|---|---|---|---|
| G45467 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1720157274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 COURT ST STE 1",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422131",
"telephone_number": "209-257-0513",
"fax_number": "209-257-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 COURT ST STE 1",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422131",
"telephone_number": "209-257-0513",
"fax_number": "209-257-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "RAYMOND",
"middle_name": "HAMEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G45467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G45467",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.