Jeffrey Michael Pierce, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A93247 Issued in CA

Practice address

440 S E St
Santa Rosa, CA 95404-5136

Phone

(707) 583-9772

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

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 and National Provider Directory roles.

• Mutch Iacini Chiropractic Inc

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1144693623
  NPD
• Lana Surgenor Chiropractic, Inc.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1417169533
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1780746107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 BUSH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045112",
            "telephone_number": "707-583-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045136",
            "telephone_number": "707-583-9772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3569 Round Barn Cir",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954035781",
            "country_code": "US",
            "telephone_number": "707-583-8800",
            "fax_number": "707-583-8808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780746107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Brand Pickar, PH.D.
• Elizabeth Fe Pickering, LCSW
• Allison Pierce-Gay
• Barry G Pierce, M.D.
• Gary L Pierce
• Meg A Pierce, MFT
• Patricia Nicole Pierce, F.N.P.
• Nora Sorentino Pike, SLP-CCC, MS
• Erin Pile
• Suzanne Pilegaard, CERTIFIED MASTECTOMY

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.