Missouri Valley Sports Medicine and Orthopedics Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

R5N34 Issued in MO

Legal business name

MISSOURI VALLEY SPORTS MEDICINE AND ORTHOPEDICS INC

Practice address

2100 W Main St
Sedalia, MO 65301-2351

Phone

(660) 826-5750

Fax

(660) 829-0213

NPI assigned

Sep 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Ellefsen, D.O.NPI 1871694760

Title

Owner/Physician

Phone

(660) 826-5750

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian K Ellefsen, DO

  • Orthopaedic Surgery Physician
  • Sedalia, MO
  • NPI 1871694760
  Medicare reassignment Care Compare group NPD Authorized official
• Whitney Morgan Marcum, FNP-BC

  • Family Nurse Practitioner
  • Sedalia, MO
  • NPI 1659107415
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1023487709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012351",
            "telephone_number": "660-826-5750",
            "fax_number": "660-829-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012351",
            "telephone_number": "660-826-5750",
            "fax_number": "660-829-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI VALLEY SPORTS MEDICINE AND ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "ELLEFSEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "660-826-5750",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R5N34",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rashel Millsap, COTA
• Candice L Milner, M.S., CCC-SLP
• Jessica Miranda
• Missouri CVS Pharmacy LLC
• Missouri Em-I Medical Services PC
• Mary Ellen Mittenburg, M.S., CF-SLP
• Mobility First, Inc.
• Joseph Morarity, PHARMD
• Susan Gardner Moreau, RN
• Stephanie Morey, DH

• Orthopaedic Surgery Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.