Midwest Bone & Joint Surgery PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MIDWEST BONE & JOINT SURGERY PC

Practice address

30 Apex Drive
Suite #1
Highland, IL 62249-1285

Phone

(618) 654-5400

Fax

(618) 654-8700

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Felix F Ungacta, M.D.NPI 1669568754

Title

Orthopedic Surgeon

Phone

(618) 541-1406

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Felix Flores Ungacta, MD

  • Orthopaedic Surgery Physician
  • Highland, IL
  • NPI 1669568754
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1073700449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 APEX DRIVE",
            "address_2": "SUITE #1",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491285",
            "telephone_number": "618-654-5400",
            "fax_number": "618-654-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 APEX DRIVE",
            "address_2": "SUITE #1",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491285",
            "telephone_number": "618-654-5400",
            "fax_number": "618-654-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BONE & JOINT SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "UNGACTA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "618-541-1406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "215632",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PVDR#",
            "identifier": "K45126",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie H McGinley, MHS, CCC-SLP
• Katie A Menendez, APRN
• Metro East Surgical Specialty SC
• Beverly L Meyer, PT
• Shannon Meyer, DT
• Midwest Family Dentistry PC
• Alexis Miller
• Drew Dennis Miller, DMD
• Modern Health and Wellness Inc
• Kecia Montgomery, DT

• Orthopaedic Surgery Physician in Highland, IL
• Providers in Highland, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.