Individual provider Active NPI

Sonjay Joseph Fonn, DO

  • Neurological Surgery Physician
  • Cape Girardeau, MO
National Provider Identifier
1053533919
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2008003433 Issued in MO
Practice address
65 Doctors Park Ste a
Cape Girardeau, MO 63703-4927
Phone
(573) 651-1687
Fax
(573) 651-8734
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2008003433 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X 58.001982 OH

Addresses

Primary practice location

65 Doctors Park Ste a
Cape Girardeau, MO 63703-4927

Mailing address

65 Doctors Park Ste a
Cape Girardeau, MO 63703-4927
Phone (573) 651-1687

Other names 1

  • Sanjay Joseph Fonn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ask@drfonn.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000575 MO Practitioner - NeurosurgeryPractitioner - Pain Management 5698842490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Pain Management
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians
Midwest Neurosurgeons LLCGroup PAC ID 8628133360, 2 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

65 Doctors Park
Cape Girardeau, MO 63703-4927
Phone 5736511687201

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58.001982OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Surgery Center, LLC CurrentSince May 23, 2011 Accepting new patients
Auburn Surgery Center Inc PastSince Apr 30, 2003 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Southeast Missouri Surgery Center LLC PastSince Mar 3, 2024 Accepting new patients
Southeast Missouri Anesthesia Services, LLC PastSince Aug 1, 2013 Accepting new patients
Cape Neurological Surgeons, P. C. Past Accepting new patients

Locations

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

65 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 651-1687

65 Doctors Park
Ste A
Cpe Girardeau, MO 63703
Phone (573) 651-1687

Interoperability endpoints

  • FHIR API: https://3e25d143-a3d0-4e01-978d-8d029cefcdbb.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1053533919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DOCTORS PARK STE A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "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 STE A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-651-1687",
            "fax_number": "573-651-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONN",
        "first_name": "SONJAY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2008003433",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.001982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ask@drfonn.com",
            "affiliation": "N",
            "address_1": "65 Doctors Park Ste A",
            "city": "Cape Girardeau",
            "state": "MO",
            "country_code": "US",
            "postal_code": "637034927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "FONN",
            "middle_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.