Mid-Mo O&P LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MID-MO O&P LLC

Practice address

3559 Amazonas Dr
Jefferson City, MO 65109-5717

Phone

(573) 636-9611

Fax

(573) 636-9632

NPI assigned

Dec 14, 2005

Last updated

Aug 6, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MID-MO O&P LLCAs reported in NPPES

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

Authorized official

Name

Bridget Renee Mahoney

Title

Sr VP Operations

Phone

(573) 441-0742

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mid-Mo O&P LLC

  • Prosthetic/Orthotic Supplier
  • Columbia, MO
  • NPI 1770566499

  3476767690

  Same PAC ID

Tax ID family

Advanced Prosthetics and Orthotics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Mo O&P LLC

  dba Advanced O&P

  • Prosthetic/Orthotic Supplier
  • Saint Peters, MO
  • NPI 1407275852
  NPD tax ID
• Mid-Mo O&P LLC

  dba Hitek Limb and Brace

  • Prosthetic/Orthotic Supplier
  • Rolla, MO
  • NPI 1578289328
  NPD tax ID
• Mid-Mo O&P LLC

  • Prosthetic/Orthotic Supplier
  • Columbia, MO
  • NPI 1770566499
  NPD tax ID

Locations

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1740265495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAKEVIEW AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014659",
            "telephone_number": "573-441-0742",
            "fax_number": "573-441-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 AMAZONAS DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095717",
            "telephone_number": "573-636-9611",
            "fax_number": "573-636-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MO O&P LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-MO O&P LLC",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SR VP OPERATIONS",
        "authorized_official_telephone_number": "573-441-0742"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "522024",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "41486",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "627800907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "166056",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid America Prosthetic Center, LLC.
• Mid Missouri Hand & Orthopedic Surgery Inc
• Mid Missouri Medical Consultants, Inc.
• Mid-Missouri Anesthesia Consultants PC
• Mid-Missouri ENT and Facial Plastic Surgery Specialsts Inc.
• Kevin Michel Middlemist, D.O.
• Deborah M Middleton
• Midwest Respiratory Care Inc.
• Donald P. Miller, M.D.
• Jonas Daniel Miller, DDS

• Prosthetic/Orthotic Supplier in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.