MEDICARE: GEORGE B PIERSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	R3D24	MO
2	207RC0000X	Cardiovascular Disease Physician	04-19855	KS
3	207RI0011X	Interventional Cardiology Physician	04-19855	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497749972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE B PIERSON MD

Provider Business Mailing Address
First Line	:	5100 W 110TH ST STE 200
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1215
Country	:	US
Telephone Number	:	913-253-3000
Fax Number	:	913-253-3030

Provider Business Practice Location Address
First Line	:	5100 W 110TH ST STE 200
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1215
Country	:	US
Telephone Number	:	913-253-3000
Fax Number	:	913-253-3030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	02/09/2022

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