MIDWEST BONE & JOINT CENTER PC (NPI# 1902812407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902812407 |
| Entity Type | Organization |
| Organization Name | MIDWEST BONE & JOINT CENTER PC |
| Practice Address |
1706 Prospect Dr Macon MO 63552-2615 |
| Mailing Address |
1836 Lackland Hill Pkwy Saint Louis MO 63146-3572 |
| Practice Telephone | 6603851006 |
| Practice Fax Number | 6603851028 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | DONET CHRISTOPHER MAIN (OWNER) |
| Authorized Official Telephone | 6603851006 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | CK3308 | 01 |
| Street Address |
1706 PROSPECT DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477913192 | Midwest Surgical Specialties PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2016-02-24 |
| 1376885632 | Kalen Scott Linneman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1548502800 | Brooksy Lee Halterman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1598881971 | Janet C Ancell | Occupational Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1184740581 | Cynthia Marie Seiler | Physical Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1063529006 | Nola F. Moore | Nurse Practitioner | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-24 |
| 1861409625 | Donet Christopher Main | Orthopaedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-02 |
| 1114934205 | Center for Surgical Specialties, PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409625 | Donet Christopher Main | Orthopaedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043622566 | R&r 1 LLC | Orthopaedic Surgery | 9272 Caddyshack Cir, Saint Louis, MO 63127-1932 | 2014-06-02 |
| 1063701647 | John Paul Eggers | Orthopaedic Surgery | 2790 Clay Edwards Dr # Dr600, Kansas City, MO 64116-3276 | 2011-04-04 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1043340854 | Jeffrey Aaron Krempec | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 | 2007-03-07 |
| 1104833540 | James A Keeney | Orthopaedic Surgery | 1100 Virginia Avenue, Columbia, MO 65212-0001 | 2006-08-01 |
| 1487097044 | Rajesh Rangarajan | Orthopaedic Surgery | 2301 Holmes St, Kansas City, MO 64108 | 2013-04-14 |
| 1962764183 | Charity Ann Jacobs | Orthopaedic Surgery | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2012-06-13 |
| 1720354806 | Charles Murray Lawrie | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2012-03-22 |
| 1396908042 | Muyibat A Adelani | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2008-07-02 |
| 1386778660 | Orthopedic Care of St. Louis, PC | Orthopaedic Surgery | 1040 N Mason Rd, Suite G03, Saint Louis, MO 63141-6399 | 2007-03-16 |
| 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.