Organization Active NPI

Gregory L Peare, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Yuma, AZ
National Provider Identifier
1841472370
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
AZ22350 Issued in AZ
Legal business name
GREGORY L PEARE, M.D., P.C.
Practice address
2281 W 24TH St
Suite 2
Yuma, AZ 85364-6197
Phone
(928) 344-3232
Fax
(928) 344-3838
NPI assigned
Nov 27, 2007
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mrs. Peggy Karn
Title
Office Manager
Phone
(928) 344-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X AZ22350 AZ Primary

Addresses

Primary practice location

2281 W 24TH St
Suite 2
Yuma, AZ 85364-6197

Mailing address

PO Box 6489
Yuma, AZ 85366-6489
Phone (928) 344-3232

Other identifiers 1

IdentifierTypeStateIssuer
CH8869OtherAZRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000051 AZ Part B Supplier - Clinic/Group Practice 7911894357 Receives reassigned benefits from 3 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

2281 W 24th St
Ste 2
Yuma, AZ 85364
Phone (928) 334-3232

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1841472370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6489",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853666489",
            "telephone_number": "928-344-3232",
            "fax_number": "928-344-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST",
            "address_2": "SUITE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646197",
            "telephone_number": "928-344-3232",
            "fax_number": "928-344-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L PEARE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "KARN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-344-3232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "AZ22350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH8869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.