Active NPI
John a. Gillen II MD Orthopaedic Specialists P.a.
- Orthopaedic Surgery Physician
- Grandview, MO
National Provider Identifier
1780879858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17519026 | Other | MO | BCBSKC GROUP # |
| DC5878 | Other | MO | RR MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryLocations
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.