Provider Demographics
NPI:1487657409
Name:PIERRON, ROBERT L (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:PIERRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 741331
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1331
Mailing Address - Country:US
Mailing Address - Phone:913-469-6447
Mailing Address - Fax:913-338-1311
Practice Address - Street 1:10600 MASTIN ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5723
Practice Address - Country:US
Practice Address - Phone:913-469-6447
Practice Address - Fax:913-825-3716
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR2A47207X00000X
KS04-16839207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
43441V3458OtherGHP/ADVANTRA
9000589OtherUHC
351240001OtherCIGNA DMERC
MO21192OtherBLUE CROSS BLUE SHIELD
82924OtherCMR
102054OtherHEALTHLINK
4422V6097OtherHEALTHCARE USA
2605735OtherAETNA
3053848OtherCIGNA
2605735OtherAETNA
3053848OtherCIGNA
9000589OtherUHC