Raymund O. Pineda, M.D., LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

2005004444 Issued in MO

Legal business name

RAYMUND O. PINEDA, M.D., LLC

Practice address

4400 S Limit Ave
Ste B
Sedalia, MO 65301-1179

Phone

(660) 829-3400

Fax

(660) 829-3433

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raymund O. Pineda, M.D.

Title

Owner

Phone

(660) 829-3400

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1760624639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S LIMIT AVE",
            "address_2": "STE B",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653011179",
            "telephone_number": "660-829-3400",
            "fax_number": "660-829-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S LIMIT AVE",
            "address_2": "STE B",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653011179",
            "telephone_number": "660-829-3400",
            "fax_number": "660-829-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMUND O. PINEDA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-829-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2005004444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "38568029",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1841262789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1760624639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "MA1749001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sedalia, MO
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.