Organization Active NPI

Midwest Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cape Girardeau, MO
National Provider Identifier
1003171745
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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.NPI 1053533919
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20130918000413 MO Part B Supplier - Ambulatory Surgical Center 4981848728 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Girardeau, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2050350Midwest Surgery Center, LLC65 Doctors Park Drive, Suite B, Cape Girardeau, MO 63703Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

65 Doctors Park
Ste B
Cpe Girardeau, MO 63703
Phone (573) 270-8365

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.