Active NPI
Midwest Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MIDWEST SURGERY CENTER, LLC
- Practice address
- 65 Doctors Park
Suite B
Cape Girardeau, MO 63703-4927 - Phone
- (573) 803-2007
- NPI assigned
- Jul 9, 2012
- Last updated
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sonjay Joseph Fonn, D.O.
- Title
- Owner
- Phone
- (573) 651-1687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
65 Doctors Park
Suite B
Cape Girardeau, MO 63703-4927
Mailing address
PO Box 614
Cape Girardeau, MO 63702-0614
Phone (573) 651-1687
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ask@drfonn.com | Midwest Neurosurgeons LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2050350 | Midwest Surgery Center, LLC | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
65 Doctors Park
Ste B
Cpe Girardeau, MO 63703
Phone (573) 270-8365
Interoperability endpoints
- https://3e25d143-a3d0-4e01-978d-8d029cefcdbb.gastro.prod.fhir.ema-api.com/fhir/r4/
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Cape Girardeau, MO
- NPI 1053533919
-
- Nurse Practitioner
- Cape Girardeau, MO
- NPI 1093740698
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1598841876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1003171745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 614",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637020614",
"telephone_number": "573-651-1687",
"fax_number": "573-651-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 DOCTORS PARK",
"address_2": "SUITE B",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034927",
"telephone_number": "573-803-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-09",
"last_updated": "2023-11-27",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "FONN",
"authorized_official_first_name": "SONJAY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-651-1687",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ask@drfonn.com",
"affiliation": "Y",
"affiliationName": "Midwest Neurosurgeons LLC",
"address_1": "65 Doctors Park",
"address_2": "Suite B",
"city": "Cape Girardeau",
"state": "MO",
"country_code": "US",
"postal_code": "637034927",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.