MISSOURI WESTERN STATE UNIVERSITY SPORTS MEDICINE
NPI 1063891158
Orthopaedic Surgery in Saint Joseph, MO

Active since May 22, 2015
4525 DOWNS DR, SAINT JOSEPH, MO 64507(816) 271-4597(972) 367-3451 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Missouri Western State University Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI WESTERN STATE UNIVERSITY SPORTS MEDICINE (NPI 1063891158) is a healthcare organization registered as an orthopaedic surgery in Saint Joseph, Missouri and active in the NPI registry since May 2015. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1063891158
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMISSOURI WESTERN STATE UNIVERSITY
Location Address4525 DOWNS DRSaint Joseph, MO 64507-2246
Mailing AddressPo Box 650850, Dept 1011Dallas, TX 75265-0850 · (800) 555-9073 · Fax (972) 367-3452
Fax(972) 367-3451
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateMay 22, 2015
NPI 1063891158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
4525 DOWNS DR, Saint Joseph, MO 64507

Other Names 1

Doing Business AsMissouri Western State University Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
4525 DOWNS DR
SAINT JOSEPH, MO 64507
Specialist/Technologist (Athletic Trainer)
4525 DOWNS DR
SAINT JOSEPH, MO 64507
Nurse Practitioner (Family)
4525 DOWNS DR, BLUM UNION ROOM 203
SAINT JOSEPH, MO 64507
Specialist/Technologist (Athletic Trainer)
4525 DOWNS DR
SAINT JOSEPH, MO 64507
Specialist/Technologist (Athletic Trainer)
4525 DOWNS DR
SAINT JOSEPH, MO 64507
Specialist/Technologist (Athletic Trainer)
4525 DOWNS DR
SAINT JOSEPH, MO 64507
Counselor
4525 DOWNS DR
SAINT JOSEPH, MO 64507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri Western State University's NPI number?

The NPI number for Missouri Western State University is 1063891158. It was assigned to this organization in the NPPES registry on May 22, 2015. The provider is doing business as Missouri Western State University Sports Medicine.

Where is Missouri Western State University located?

Missouri Western State University is located at 4525 Downs Dr, Saint Joseph, MO 64507. The listed phone number is (816) 271-4597.

What is Missouri Western State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Missouri Western State University was last updated on May 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.