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MIDWEST BONE & JOINT CENTER PC NPI 1902812407


NPI Information

NPI: 1902812407
Provider Name: MIDWEST BONE & JOINT CENTER PC
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
1706 PROSPECT DR
MACON, MO
ZIP 63552
Phone: (660) 385-1006
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MIDWEST BONE & JOINT CENTER PC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Macon, MO. The provider is 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. MIDWEST BONE & JOINT CENTER PC NPI is 1902812407. The provider is registered as an organization entity type.

The provider's business location address is:

1706 PROSPECT DR
MACON, MO
ZIP 63552-615
Phone: (660) 385-1006
Fax: (660) 385-1028

The provider's authorized official is Donet Christopher Main .
The authorized official title is Owner and has the following contact phone number (660) 385-1006.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 12/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CK3308OTHERMISSOURIRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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