MISSOURI VALLEY SPORTS MEDICINE AND ORTHOPEDICS (NPI# 1023487709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023487709 |
| Entity Type | Organization |
| Organization Name | MISSOURI VALLEY SPORTS MEDICINE AND ORTHOPEDICS |
| Practice Address |
1941 Boone Village Dr Suite C & D Boonville MO 65233-1995 |
| Practice Telephone | 6608822321 |
| Practice Fax Number | 6608822286 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | BRIAN ELLEFSEN (OWNER) |
| Authorized Official Telephone | 6608822321 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R5N34 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1941 BOONE VILLAGE DR SUITE C & D |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871694760 | Brian K Ellefsen | Orthopaedic Surgery | 1941 Boone Village Dr, Suite C & D, Boonville, MO 65233-1995 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871694760 | Brian K Ellefsen | Orthopaedic Surgery | 1941 Boone Village Dr, Suite C & D, Boonville, MO 65233-1995 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588164347 | Orthopedic Associates of Jc, LLC | Orthopaedic Surgery | 19201 E Valley View Pkwy Ste C, Independence, MO 64055-6913 | 2018-02-19 |
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1922528249 | Chikezie Okeagu | Orthopaedic Surgery | 621 South New Ballas, St. Louis, MO 63141 | 2017-06-27 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1003268087 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379 | 2016-07-01 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1447660451 | Tyson Travis | Orthopaedic Surgery | 2820 E Rock Haven Rd Ste 120, Harrisonville, MO 64701-4413 | 2014-04-29 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
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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.