Midwest Bone & Joint Center PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

Legal business name

MIDWEST BONE & JOINT CENTER PC

Practice address

1706 Prospect Dr
Macon, MO 63552-2615

Phone

(660) 385-1006

Fax

(660) 385-1028

NPI assigned

Aug 1, 2006

Last updated

Dec 1, 2022By the provider in NPPES

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, DONPI 1861409625

Title

Owner

Phone

(660) 385-1006

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donet Christopher Main, DO

  • Orthopaedic Surgery Physician
  • Macon, MO
  • NPI 1861409625

  Adult Reconstructive Orthopaedic Surgery

  Medicare reassignment NPD Authorized official
• Nola F. Moore, FNP

  • Nurse Practitioner
  • Macon, MO
  • NPI 1063529006
  Medicare reassignment
• Ronald L Danielson Jr., MPT, MS

  • Physical Therapist
  • Kirksville, MO
  • NPI 1659676674
  NPD (past)
• Nora Marie Hockman-McDowell, FNP

  • Family Nurse Practitioner
  • Macon, MO
  • NPI 1750387163
  NPD (past)
• Kathleen Anne Ketchum, PA

  • Physician Assistant
  • Columbia, MO
  • NPI 1487996849
  NPD (past)
• Paul Vincent Lane, P.T.

  • Physical Therapist
  • Macon, MO
  • NPI 1841316296
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1902812407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635520402",
            "telephone_number": "660-385-1008",
            "fax_number": "660-385-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1006",
            "fax_number": "660-385-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BONE & JOINT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "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": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK3308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McPherson Medical & Diagnostic LLC (American Medical Missouri)
• McPherson Medical & Diagnostic, LLC
• Medical Management of Macon, Inc.
• Beth Mettes, FNP-BC
• Mid Missouri Physical Therapy
• Midwest Orthopedic Surgical Services LLC
• Midwest Surgical Specialties PC
• Miller Rexall Drug Store
• Miller Rexall Drug, Inc
• Miller Rexall Drug, Inc. (Miller Rexall Drug)

• Adult Reconstructive Orthopaedic Surgery Physician in Macon, MO
• Providers in Macon, 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 Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.