Active NPI
Midwest Physicians & Surgeons PC
- Plastic and Reconstructive Surgery Physician
- Cape Girardeau, MO
National Provider Identifier
1790784171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- MIDWEST PHYSICIANS & SURGEONS PC
- Practice address
- 300 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703-4920 - Phone
- (573) 651-4488
- Fax
- (573) 651-4431
- NPI assigned
- Jul 19, 2005
- 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
- Mr. Gregory A Tobin, M.D.
- Title
- M.D. and Owner
- Phone
- (573) 651-4488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MO | Primary |
Addresses
Primary practice location
300 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703-4920
Mailing address
PO Box 70
Cape Girardeau, MO 63702-0070
Phone (573) 651-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508077401 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Midwest Physicians Surgeons PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Plastic and Reconstructive Surgery Physician
- Cape Girardeau, MO
- NPI 1376847830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Dakota Dunes, SD
- NPI 1437546264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1790784171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637020070",
"telephone_number": "573-651-4488",
"fax_number": "573-651-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S MOUNT AUBURN RD",
"address_2": "STE 100",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034920",
"telephone_number": "573-651-4488",
"fax_number": "573-651-4431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST PHYSICIANS & SURGEONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TOBIN",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "M.D. AND OWNER",
"authorized_official_telephone_number": "573-651-4488",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508077401",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.