Organization Active NPI

Midwest Neurosurgeons LLC

  • Neurological Surgery Physician
  • Cape Girardeau, MO
National Provider Identifier
1992940407
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Nov 5, 2024

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.NPI 1053533919
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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2038171Midwest Neurosurgeons, LLC65 Doctors Park, Ste a, Cape Girardeau, MO 63703Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

Practitioners & affiliated clinicians

Practitioners 3

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

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.

Verify at the official NPI Registry.