MISSOURI SOUTHERN STATE UNIVERSITY SPORTS MEDICINE
NPI 1902357379
Orthopaedic Surgery in Joplin, MO

NPI Status: Active since October 20, 2016

Contact Information

3950 NEWMAN RD
JOPLIN, MO
ZIP 64801
Phone: (417) 625-9300

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About MISSOURI SOUTHERN STATE UNIVERSITY SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Missouri Southern State University Sports Medicine, a provider established in Joplin, Missouri operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1902357379 assigned on October 2016. The practitioner's primary taxonomy code is 207X00000X with license number 112693 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. Missouri Southern State University Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Missouri Southern State University Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Agent)

NPI
1902357379
Provider Legal Name
MISSOURI SOUTHERN STATE UNIVERSITY
Other Organization Name
MISSOURI SOUTHERN STATE UNIVERSITY SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3950 NEWMAN RD JOPLIN, MO 64801
Location Phone
(417) 625-9300
Mailing Address
5050 SPRING VALLEY RD. DALLAS, TX 75244
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2016
Last Update Date
10-20-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
112693
License State
MO
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Catastrophic Pathway Essentials (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOUZON BASS III

Authorized Official Title
AGENT
Authorized Official Phone
(972) 367-4845

Reviews for MISSOURI SOUTHERN STATE UNIVERSITY SPORTS MEDICINE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902357379, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 6 + 5 + 1 + 4 + 3 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1902357379.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Nurse Practitioner (Family)
3950 NEWMAN RD
JOPLIN, MO 64801
Clinic/Center (Student Health)
3950 NEWMAN RD, KUHN HALL 306 HEALTH SERVICES OFFICE
JOPLIN, MO 64801
Rehabilitation Unit
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Dental Hygienist
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Behavior Analyst
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801
Specialist/Technologist (Athletic Trainer)
3950 NEWMAN RD
JOPLIN, MO 64801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902357379, enumerated as an "organization" on October 20, 2016.

The provider is located at 3950 NEWMAN RD JOPLIN, MO 64801 and the phone number is (417) 625-9300.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.