Active NPI
Sonjay Joseph Fonn, DO
- Neurological Surgery Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 2008003433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- 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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 26 |
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.001982 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Surgery Center, LLC | Current | Accepting new patients | |
| Auburn Surgery Center Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Southeast Missouri Surgery Center LLC | Past | Accepting new patients | |
| Southeast Missouri Anesthesia Services, LLC | Past | 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
- 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.
-
- Neurological Surgery Physician
- Cape Girardeau, MO
- NPI 1992940407
-
- Ambulatory Surgical Clinic/Center
- Cape Girardeau, MO
- NPI 1003171745
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1649618547
-
- Ambulatory Surgical Clinic/Center
- Cape Girardeau, MO
- NPI 1164388021
-
- Rehabilitation Clinic/Center
- Sikeston, MO
- NPI 1720003551
-
- Ambulatory Surgical Clinic/Center
- Cape Girardeau, MO
- NPI 1043760184
-
- Specialist
- Cape Girardeau, MO
- NPI 1629176664
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.