ROBERT PEARSON (NPI# 1316960008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316960008 |
| Entity Type | Individual |
| Full Name | ROBERT PEARSON |
| Credential | DPM |
| Practice Address |
600 Blues Lake Pkwy Rolla MO 65401-8022 |
| Practice Telephone | 5733648822 |
| Practice Fax Number | 5733415969 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2001015853 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 464117 | 01 |
| MO | RAILROAD MEDICARE | P00063001 | 01 |
| MO | 305675506 | 05 | |
| MO | BLUE CROSS BLUE SHIELD OF | 146566 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174996011 | Robert Pearson | Specialist | 257 Central Park W Apt 5b, New York, NY 10024-4108 | 2015-10-31 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1699810424 | Robert Pearson | Dentist | 350 Town Center Avenue, Suite 301, Suwanee, GA 30024-9412 | 2007-02-20 |
| 1386658870 | Robert S Pearson | Podiatrist | 1607 St. James Ct., Veterans Health Administration, Tallahassee, FL 32308 | 2006-07-28 |
| 1295793834 | Robert Dean Pearson | Otolaryngology | 1251 N Northfield Rd, Suite 200, Cedar City, UT 84720-7744 | 2006-05-03 |
| 1023007416 | Robert Allen Pearson | Optometrist | 6134 W. Lake Mead Blvd, E-8, Las Vegas, NV 89108-2659 | 2005-10-18 |
| 1154643617 | Robert Crump Pearson | Pharmacist | 424 N Brightleaf Blvd, Smithfield, NC 27577-4674 | 2010-02-24 |
| Street Address |
600 BLUES LAKE PKWY |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282860 | Lowell R Fisher | Surgery | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2005-08-16 |
| 1265952295 | Rachel Ann Feeler | Nurse Practitioner | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2017-06-21 |
| 1497285159 | Candace Kay Chafton | Nurse Practitioner | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2017-06-15 |
| 1871949461 | Anaid Hernandez-sanchez | Internal Medicine | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2016-05-12 |
| 1629460878 | Leah Kathleen Bond | Clinical Nurse Specialist | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2015-02-25 |
| 1811330806 | Cory L.s. Offutt | Family Medicine | 600 Blues Lake Pkwy, Rolla, MO 65401 | 2013-04-09 |
| 1043573462 | Lynne Cary Schenk | Audiologist | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2012-06-20 |
| 1821362088 | Matthew Warren Hurley | Family Medicine | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2012-03-05 |
| 1497064398 | Catherine Helen Zwintscher | Physician Assistant | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2010-09-27 |
| 1053638577 | Jennifer Lynn Bremer | Physician Assistant | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609888288 | Joshua C Garrison | Podiatrist | 1605 Martin Springs Dr, Rolla, MO 65401-2931 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421696 | Kiera Margaret Benge-shea | Podiatrist | 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 | 2020-06-09 |
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1255727525 | Mobile Podiatry of Kansas, LLC | Podiatrist | 1920 Salter Pl, Kirksville, MO 63501-5165 | 2015-04-13 |
| 1346645496 | Ronald Ethan Freilich | Podiatrist | 25107 Cherokee Ln, Jonesburg, MO 63351-2454 | 2014-10-31 |
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.