Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Methodist University

Organization Orthopaedic Surgery Physician · NPI 1467903971

Central Methodist University is an Orthopaedic Surgery Physician in Fayette, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

411 Central Methodist Sq
Fayette, MO 65248-1104
Phone: (660) 248-6346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2001007784 (MO)

Record details

NPI number1467903971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Central Methodist University Sports Medicine
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016
Mailing address5050 Spring Valley Rd., Dallas, TX 75244-3909