Active NPI
Midwest Orthopedic Specialists Inc
- Orthopaedic Surgery Physician
- Quincy, IL
National Provider Identifier
1356863567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MIDWEST ORTHOPEDIC SPECIALISTS INC
- Practice address
- 927 Broadway St Ste 130
Quincy, IL 62301-2715 - Phone
- (217) 228-9422
- NPI assigned
- Jul 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amy L Haden
- Title
- W-2 Employee
- Phone
- (573) 248-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
927 Broadway St Ste 130
Quincy, IL 62301-2715
Mailing address
188 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 248-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Hannibal, MO
- NPI 1093880270
O20050728000845
National Provider Directory
National Provider DirectoryLocations
927 Broadway St
Ste 130
Quincy, IL 62301
Phone (217) 214-5660
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Hannibal, MO
- NPI 1154918332
-
- Family Nurse Practitioner
- Hannibal, MO
- NPI 1720621154
-
- Orthopaedic Hand Surgery Physician
- Saint Louis, MO
- NPI 1740675552
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499644800000",
"number": "1356863567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 MEDICAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016877",
"telephone_number": "573-248-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 BROADWAY ST STE 130",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012715",
"telephone_number": "217-228-9422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ORTHOPEDIC SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-10",
"last_updated": "2017-07-10",
"status": "A",
"authorized_official_last_name": "HADEN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "W-2 EMPLOYEE",
"authorized_official_telephone_number": "573-248-1010",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.