Organization Active NPI

Mid Missouri Hand & Orthopedic Surgery Inc

  • Orthopaedic Surgery Physician
  • Jefferson City, MO
National Provider Identifier
1386726461
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R8786 Issued in MO
Legal business name
MID MISSOURI HAND & ORTHOPEDIC SURGERY INC
Practice address
1433 Southwest Blvd
Jefferson City, MO 65109-2429
Phone
(573) 632-4263
Fax
(573) 632-6529
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Roger W Cameron, D.O.
Title
Owner
Phone
(573) 632-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X R8786 MO Primary

Addresses

Primary practice location

1433 Southwest Blvd
Jefferson City, MO 65109-2429

Mailing address

1433 Southwest Blvd
Jefferson City, MO 65109-2429
Phone (573) 632-4263

Other identifiers 2

IdentifierTypeStateIssuer
200032999OtherMORAILROAD MEDICARE
241975715MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1386726461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092429",
            "telephone_number": "573-632-4263",
            "fax_number": "573-632-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092429",
            "telephone_number": "573-632-4263",
            "fax_number": "573-632-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MISSOURI HAND & ORTHOPEDIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-632-4263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R8786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200032999",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241975715",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.