Jeffrey Lynn Piccirillo, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3594 Issued in IA

Practice address

1114 West St
Grinnell, IA 50112-1646

Phone

(641) 236-7846

Fax

(877) 480-3023

NPI assigned

Feb 1, 2006

Last updated

Dec 27, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9564/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedic Surgical Consultants, PC

  • Pediatric Orthopaedic Surgery Physician
  • Merrillville, IN
  • NPI 1528123007
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1891767257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WEST ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121646",
            "telephone_number": "641-236-7846",
            "fax_number": "877-480-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WEST ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121646",
            "telephone_number": "641-236-7846",
            "fax_number": "877-480-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIRILLO",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rianna Peck
• Huan Jacqueline Perman, PSYCHOLOGIST
• Luke Robert Perrin, M.D.
• Kristin Lynn Phelps, PA-C
• Maksymilian James Piasecki
• Poweshiek County Case Management
• Poweshiek County Case Management
• Poweshiek County Mental Health Center
• QV Urgent Care Ia PLLC (QuickVisit Urgent Care)
• Rebelsky Family Practice LLC

• Orthopaedic Surgery Physician in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.