Bone & Joint Specialists Physician Group, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BONE & JOINT SPECIALISTS PHYSICIAN GROUP, LLC

Practice address

17067 S Outer Rd
Suite 200
Belton, MO 64012-2165

Phone

(816) 322-0688

Fax

(816) 322-4722

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Todd Carlon

Title

Vice President

Phone

(816) 508-4090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Midwest Division - RMC, LLC

  • Psychiatric Hospital Unit
  • Kansas City, MO
  • NPI 1265862049

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danny K Carroll, M.D.

  • Orthopaedic Surgery Physician
  • Harrisonville, MO
  • NPI 1639172760

  MO, Orthopaedic Surgery

  Medicare reassignment NPD
• Kenneth Wendell Petersen, D.O.

  • Orthopaedic Surgery Physician
  • Harrisonville, MO
  • NPI 1568637395

  Orthopaedic Surgery

  NPD (past)
• James Francis Queenan III, D.O.

  • Orthopaedic Surgery Physician
  • Canton, IL
  • NPI 1376535435

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1629313655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 200",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-322-0688",
            "fax_number": "816-322-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 200",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-322-0688",
            "fax_number": "816-322-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE & JOINT SPECIALISTS PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "CARLON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-508-4090"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bleauridge Nursing and Rehab LLC
• Bleauridge Nursing and Rehab LLC
• Kent A Bogner, DO
• Lori Bohnenstiehl
• William Xander Bolden
• Bone&Joint Specialist P.C.
• Erica Renee Bourbon, ANP-BC
• Bracken Homes
• Douglas L Bradley, MD
• Nicole Brogan

• Orthopaedic Surgery Physician in Belton, MO
• Providers in Belton, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.