Active NPI
Midwest Neurosurgeons LLC
- Neurological Surgery Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MIDWEST NEUROSURGEONS LLC
- Practice address
- 65 Doctors Park Ste a
Cape Girardeau, MO 63703-4927 - Phone
- (573) 651-1687
- Fax
- (573) 651-8734
- NPI assigned
- Dec 12, 2008
- 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
- Dr. Sonjay Joseph Fonn, D.O.
- Title
- Single Member/Owner
- Phone
- (573) 651-1687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
65 Doctors Park Ste a
Cape Girardeau, MO 63703-4927
Mailing address
65 Doctors Park Ste a
Cape Girardeau, MO 63703-4927
Phone (573) 651-1687
Other names 1
- Sonjay Joseph Fonn Sole Member
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090213000061 | MO | Part B Supplier - Clinic/Group Practice | 8628133360 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Cape Girardeau, MO; Saint Louis, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Saint Louis, MO
- NPI 1215378955
O20090213000061
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2038171 | Midwest Neurosurgeons, LLC | Certificate of waiver | Mar 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
65 Doctors Park
Ste A
Cpe Girardeau, MO 63703
Phone (573) 651-1687
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Neurological Surgery Physician
- Saint Louis, MO
- NPI 1215378955
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Cape Girardeau, MO
- NPI 1093740698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1992940407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 DOCTORS PARK STE A",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034927",
"telephone_number": "573-651-1687",
"fax_number": "573-651-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 DOCTORS PARK STE A",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034927",
"telephone_number": "573-651-1687",
"fax_number": "573-651-8734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST NEUROSURGEONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "FONN",
"authorized_official_first_name": "SONJAY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "SINGLE MEMBER/OWNER",
"authorized_official_telephone_number": "573-651-1687",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sonjay Joseph Fonn Sole Member",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 5, 2024; 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.