Individual provider Active NPI

Ronald Lee Pearson, DO

  • Emergency Medicine Physician
  • Ballwin, MO
National Provider Identifier
1831228782
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
118428 Issued in MO
Practice address
1669 Carman Rd
Ballwin, MO 63021-7183
Phone
(636) 207-8738
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 118428 MO Primary
Occupational Medicine Physician 2083X0100X 118428 MO

Addresses

Primary practice location

1669 Carman Rd
Ballwin, MO 63021-7183

Mailing address

1669 Carman Rd
Ballwin, MO 63021-7183
Phone (636) 207-8738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20100327000237 MO Practitioner - Emergency Medicine 3779619937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Parkland Health Center Farmington
Farmington, MO 63640-1921
Phone (573) 756-6451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital CurrentSince Jan 15, 2020 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Sep 2, 2018 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Jan 15, 2020 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Sep 2, 2018 Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

100 Highway 21 N
Ellington, MO 63638
Phone (573) 663-2511

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

Interoperability endpoints

  • Direct secure messaging: ronald.pearson@cassregional.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1831228782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 CARMAN RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217183",
            "telephone_number": "636-207-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 CARMAN RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217183",
            "telephone_number": "636-207-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "118428",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MO",
            "license": "118428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.