Basic Information
| Provider Information | |||||||||
| NPI: | 1164602686 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEVEN M. ORR, M.D., L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 843112 | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641840001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9132341350 | ||||||||
| FaxNumber: | 9132341108 | ||||||||
| Practice Location | |||||||||
| Address1: | 5301 FARAON ST | ||||||||
| Address2: | |||||||||
| City: | SAINT JOSEPH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 645063373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162717546 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2007 | ||||||||
| LastUpdateDate: | 07/17/2017 | ||||||||
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| AuthorizedOfficialLastName: | ORR | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | SOLE PROPRIETER | ||||||||
| AuthorizedOfficialTelephone: | 8166912098 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0005X | R1B74 | MO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine | Undersea and Hyperbaric Medicine |
ID Information
| ID | Type | State | Issuer | Description | 39405011 | 01 | BCBS KC MO | OTHER | DN7226 | 01 | MO | RR MEDICARE | OTHER | 1164602686 | 05 | MO | MEDICAID |