MEDICARE: NEOSHO BONE & JOINT CLINIC P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	R9N57	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942538541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEOSHO BONE & JOINT CLINIC P.C.

Provider Business Mailing Address
First Line	:	4040 LAQUESTA DR.
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850-2849
Country	:	US
Telephone Number	:	417-451-1833
Fax Number	:	417-451-1825

Provider Business Practice Location Address
First Line	:	4040 LAQUESTA DRIVE
Second Line	:
City	:	NEOSHO
State	:	MO
Zip	:	64850-2849
Country	:	US
Telephone Number	:	417-451-1833
Fax Number	:	417-451-1825

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. JOSEPH ALEN PETERSEN
Credential	:
Telephone Number	:	417-451-1833

Provider Enumeration Date	:	11/20/2009
Last Update Date	:	11/20/2009

Similar Medicare Providers

1568460590 — DR. HORACE REX PETERSEN D.O.
Practice Location Address:

4040 LA QUESTA DR
NEOSHO, MO
64850-2849

Practice Phone: 417-451-1833
Practice Fax: 417-451-1825

1093120560 — FREE MARKET PHYSICIAN HOSPITAL SERVICES, LLC
Practice Location Address:

4040 LA QUESTA DR
NEOSHO, MO
64850-2849

Practice Phone: 417-283-4953
Practice Fax:

1043925829 — DANIELLE N KELSEY LCSW
Practice Location Address:

3101 LUSK DR STE 112
NEOSHO, MO
64850-2010

Practice Phone: 417-596-2415
Practice Fax:

1801891387 — DR. MICHAEL JOHN FARRIS M.D.
Practice Location Address:

113 W HICKORY ST
NEOSHO, MO
64850

Practice Phone: 417-455-4276
Practice Fax:

1548268469 — DR. BARBARA H MILLER M.D.
Practice Location Address:

336 S JEFFERSON ST
NEOSHO, MO
64850-1769

Practice Phone: 417-455-4200
Practice Fax: 417-455-4314

1366436370 — MICHAEL SHURLEY O.D.
Practice Location Address:

426 W COLER ST
NEOSHO, MO
64850-1441

Practice Phone: 417-451-2378
Practice Fax: 417-451-4484

Directions to “NEOSHO BONE & JOINT CLINIC P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.