Organization Active NPI

John a. Gillen II MD Orthopaedic Specialists P.a.

  • Orthopaedic Surgery Physician
  • Grandview, MO
National Provider Identifier
1780879858
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JOHN A. GILLEN II MD ORTHOPAEDIC SPECIALISTS P.A.
Practice address
900 Main St
Grandview, MO 64030-2477
Phone
(816) 331-6700
Fax
(816) 876-2399
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. John A Gillen II, M.D.
Title
President
Phone
(816) 331-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

900 Main St
Grandview, MO 64030-2477

Mailing address

PO Box 412043
Kansas City, MO 64141-2043
Phone (913) 647-4102

Other identifiers 2

IdentifierTypeStateIssuer
17519026OtherMOBCBSKC GROUP #
DC5878OtherMORR MEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

10730 Nall Ave
Overland Park, KS 66211
Phone (913) 206-3832

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1780879858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412043",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641412043",
            "telephone_number": "913-647-4102",
            "fax_number": "913-647-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302477",
            "telephone_number": "816-331-6700",
            "fax_number": "816-876-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. GILLEN II MD ORTHOPAEDIC SPECIALISTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-331-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC GROUP #",
            "identifier": "17519026",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DC5878",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.