Midwest Bone & Joint Center, PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

110583 Issued in MO

Legal business name

MIDWEST BONE & JOINT CENTER, PC

Practice address

Route 11 West
Timberline Clinic
Kirksville, MO 63501

Phone

(660) 385-1006

Fax

(660) 385-1028

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Donet Christopher Main, DO

Title

Owner

Phone

(660) 385-1006

Specialties & licenses 2

Addresses

Other names 1

• Midwest Bone & Joint Center, PC Kirksville Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1487792917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795057",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790795",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 11 WEST",
            "address_2": "TIMBERLINE CLINIC",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-385-1006",
            "fax_number": "660-385-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BONE & JOINT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "DONET",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-385-1006",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MO",
            "license": "110583",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Bone & Joint Center, PC Kirksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert John Mense III, DMD STUDENT
• Leithym B Messer
• Jacob Meyer
• Mid-America Orthopedic Institute
• Midamerica Orthopaedic and Spine Institute LLC
• Midwest Physician Services, LLC
• Miller and Collins LLC
• Elizabeth Anne Miller, M.A., LPC
• Jaimee Miller, BCBA
• Jessica Miller

• Adult Reconstructive Orthopaedic Surgery Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.