Jon C Banwart (NPI# 1760410542, PAC ID# 4183639156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1760410542 |
| PAC ID by PECOS | 4183639156 |
| Professional Enrollment ID | I20060213000209 |
| Full Name | Jon C Banwart |
| Organization Legal Name | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| Address |
3125 Dr Russell Smith Way Carthage MO 64836-7402 |
| Phone Number | 6207834441 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5193727501 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170203 | PREMIER SURGICAL INSTITUTE |
| 261338 | MERCY HOSPITAL CARTHAGE |
| 260001 | MERCY HOSPITAL JOPLIN |
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| 170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
| Address | Phone | Organization |
|---|---|---|
| 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 6207834441 | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| 444 Four States Dr, Galena, KS 66739-4324 | 6207834441 | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| 1121 Neo Loop, Grove, OK 74344-6046 | 6207834441 | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 85% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 46% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 9% |
| Organization Legal Name | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Vogt | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Mark E Mcnemar | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Rhonda R Stork | Physical Therapy | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Stephanie Hallacy | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Joshua Sweet | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Eugerie Altagrace Hanley | Physical Medicine and Rehabilitation | Orthopaedic Specialists of The Four States, LLC | 1504 Se 28th St, Bentonville, AR 72712-3988 |
| Jessica Kirk | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| Toby G Moore | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 1121 Neo Loop, Grove, OK 74344-6046 |
| Echo Mills | Nurse Practitioner | Orthopaedic Specialists of The Four States, LLC | 444 Four States Dr, Galena, KS 66739-4324 |
| David G Blancho | Podiatry | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Street Address |
3125 DR RUSSELL SMITH WAY |
| City | CARTHAGE |
| State | MO |
| Zip | 64836-7402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Mcnemar | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Francis H Corcoran | Cardiovascular Disease (cardiology) | Mercy Clinic Joplin LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Joan M Dutton | Nurse Practitioner | Mercy Clinic Joplin LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| David G Blancho | Podiatry | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Lloyd R Holloway | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Jonathan L Grantham | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Larry D Deffenbaugh | Gastroenterology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | |
| Robert Edward Koch | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital Carthage | 3125 Dr Russell Smith Way, Carthage Cardiopulmonary Services, Carthage, MO 64836-7402 |
| Larry D Neff Jr. | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Jonathan B Sperry | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital Carthage | 3125 Dr Russell Smith Way, Mercy Hospital Carthage Anesthesia, Carthage, MO 64836-7402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Haffner | Family Medicine | Mercy Hospital Carthage | 3116 Medical Park Dr, Jonathon Haffner Md, Carthage, MO 64836-1211 |
| Christopher Robert Andrew | Neurology | Mercy Hospital Carthage | 3116 Medical Park Dr, Jonathon Haffner Md, Carthage, MO 64836-1211 |
| Michelle L Pyle | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Victoria Gabrielle Soriano | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Tamra L Soriano | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Lance Eugene Ford | Chiropractic | 612 S Main St, Carthage, MO 64836-1649 | |
| Roger A Sacry | Family Medicine | Sacry Family Medicine PC | 433 S Garrison Ave, Carthage, MO 64836-1749 |
| Delores A Vandergrift | Nurse Practitioner | Sacry Family Medicine PC | 433 S Garrison Ave, Carthage, MO 64836-1749 |
| Harold A Smart | Family Medicine | Freeman-oak Hill Health System | 719 W Centennial Ave, Carthage, MO 64836-2816 |
| Jennifer Elizabeth Copeland | Psychologist, Clinical | Ozark Center | 1632 Missouri Ave, Carthage, MO 64836-3059 |
| Find all physicians in zip 64836 | |||
| City | CARTHAGE |
| Zip Code | 64836 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CARTHAGE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jon C Banwart.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.