Kevin Michel Middlemist, DO | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-8000 | |
(573) 556-1710 |
Full Name | Kevin Michel Middlemist |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740641851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 2022031059 (Missouri) | Primary |
Entity Name | Jefferson City Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Kevin Michel Middlemist, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-8000 | Kevin Michel Middlemist, DO 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-8000 |
Dr. John D Spears, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109 Phone: 573-635-0401 Fax: 573-635-6715 | |
Joyce Marie Wilson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-8000 Fax: 573-556-1710 | |
Dr. John J. Krautmann, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1225 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-8000 | |
Lauren Platt Cook, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5500 Fax: 573-632-4998 | |
Dr. Michael J. Snyder, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 West Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-8000 Fax: 573-556-1710 | |
Jeff A Lehmen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Suite 200, Jefferson City, MO 65109 Phone: 573-681-3759 Fax: 573-681-3659 | |
William Blake Rodgers, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2505 Mission Dr, Suite 200, Jefferson City, MO 65109 Phone: 573-681-3759 Fax: 573-681-3659 |