Active NPI
Midwest Neurosurgeons, LLC
- Neurological Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MIDWEST NEUROSURGEONS, LLC
- Practice address
- 2901 Union Rd Ste 100
Saint Louis, MO 63125-3972 - Phone
- (314) 408-0129
- Fax
- (314) 408-0141
- NPI assigned
- Jul 10, 2013
- Last updated
- Oct 26, 2024
- Organization subpart
- Yes
- Parent organization
- MIDWEST NEUROSURGEONS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonjay Joseph Fonn, DO
- Title
- Owner
- Phone
- (314) 408-0129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | |||
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
2901 Union Rd Ste 100
Saint Louis, MO 63125-3972
Mailing address
PO Box 614
Cape Girardeau, MO 63702-0614
Phone (573) 651-1687
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ask@drfonn.com | ||
| Direct Messaging Address | ask@midwestmedicalservices.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090213000061 | MO | Part B Supplier - Clinic/Group Practice | 8628133360 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cape Girardeau, MO; Saint Louis, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Cape Girardeau, MO
- NPI 1992940407
O20090213000061
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2202481 | Midwest Neurosurgeons, LLC | Certificate of waiver | Nov 27, 2026 |
National Provider Directory
National Provider Directory- Part of
- Midwest Neurosurgeons LLC
Locations
65 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 651-1687
Interoperability endpoints
- ask@midwestmedicalservices.org
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Neurological Surgery Physician
- Cape Girardeau, MO
- NPI 1992940407
Practitioners & affiliated clinicians
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.
-
- Neurological Surgery Physician
- Cape Girardeau, MO
- NPI 1053533919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729900800000",
"number": "1215378955",
"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": "2901 UNION RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631253972",
"telephone_number": "314-408-0129",
"fax_number": "314-408-0141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST NEUROSURGEONS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST NEUROSURGEONS LLC",
"enumeration_date": "2013-07-10",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"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": "314-408-0129",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"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"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ask@midwestmedicalservices.org",
"affiliation": "N",
"address_1": "2901 Union Rd Ste 200",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631253972",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
- Midwest Medical Associates, Inc (Southwest Medical Center - Eye Center)
- Midwest Medical Associates, Inc. (Southwest Medical Center)
- Midwest Medical Practitioners LLC
- Midwest Mobile Dentistry LLC
- Midwest Music Therapy Services, Inc
- Midwest Otologic Group, P.C. (Peter G. Smith, MD, Peter G. Smith, MD, PhD)
- Midwest Plastic & Hand Surgery Inc
- Midwest Pulmonary and Critical Care Consultants Inc
- Midwest Radiological Associates
- Midwest Radiological Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.