Healthcare Provider Details

I. General information

NPI: 1437142965
Provider Name (Legal Business Name): STEVEN M. ORR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 07/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 FARAON ST STE 250
SAINT JOSEPH MO
64506-3512
US

IV. Provider business mailing address

5250 NW BLUFF CIRCLE
PARKVILLE MO
64152-3112
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-7546
  • Fax: 816-271-7531
Mailing address:
  • Phone: 816-261-9801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberR1B74
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberR1B74
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: