Provider Demographics
NPI:1437142965
Name:ORR, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:ORR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5250 NW BLUFF CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3112
Mailing Address - Country:US
Mailing Address - Phone:816-261-9801
Mailing Address - Fax:
Practice Address - Street 1:5301 FARAON ST
Practice Address - Street 2:STE 250
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3512
Practice Address - Country:US
Practice Address - Phone:816-271-7546
Practice Address - Fax:816-271-7531
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR1B74207P00000X, 207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
930062971OtherRR MEDICARE GROUP CD1534
MO6784838AOtherMEDICARE PTAN # ST. JOSEP
MOP00634998OtherRR MEDICARE FOR GROUP DN7226
MO09263111OtherBCBS KANSAS CITY MO
MO6784838OtherMEDICARE PTAN KANSAS CITY
MO09263101OtherBCBS KANSAS CITY MO
MO201566544Medicaid
MO09263111OtherBCBS MO WOUND CARE
MO09263111OtherBCBS KANSAS CITY MO
MO6784838Medicare ID - Type Unspecified
MO6784838Medicare PIN
MO6784838OtherMEDICARE PTAN KANSAS CITY
MOP00634998OtherRR MEDICARE FOR GROUP DN7226
MOMA1014001Medicare PIN