MIDWEST BONE & JOINT CENTER PC NPI 1487792917

NPI Information

  • NPI: 1487792917
  • Provider Name: MIDWEST BONE & JOINT CENTER, PC
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Organization
  • Doing Business As: MIDWEST BONE & JOINT CENTER, PC KIRKSVILLE
  • Address: ROUTE 11 WEST
    TIMBERLINE CLINIC
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 385-1006

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NPI Details

MIDWEST BONE & JOINT CENTER, PC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Kirksville, MO. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. MIDWEST BONE & JOINT CENTER, PC NPI is 1487792917. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Bone & Joint Center, Pc Kirksville.

The provider's business location address is:

ROUTE 11 WEST
TIMBERLINE CLINIC
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 385-1006
Fax: (660) 385-1028

The provider's authorized official is Donet Christopher Main .
The authorized official title is Owner and has the following contact phone number (660) 385-1006.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 9/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery110583MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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