Southeast Missouri State University
NPI 1871003301 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Cape Girardeau, MO
Southeast Missouri State University is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Cape Girardeau, MO (NPI 1871003301).
Provider details
- NPI number
- 1871003301
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
- License
- 2007008844 (MO)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 2007008844 (MO)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Semo State Sports Medicine
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2021-12-17
- Certified
- 2021-12-17
Frequently asked questions
- What is Southeast Missouri State University's NPI number?
- Southeast Missouri State University's National Provider Identifier (NPI) is 1871003301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Missouri State University?
- Southeast Missouri State University is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Missouri State University located?
- Southeast Missouri State University's practice location on file with NPPES is 1 University Plz # Ms 0200, Cape Girardeau, MO 63701-4710.
- What is Southeast Missouri State University's phone number?
- The practice phone number listed in the NPPES registry for Southeast Missouri State University is (972) 367-4845.
- Who is the authorized official for Southeast Missouri State University?
- The authorized official listed on Southeast Missouri State University's NPPES record is Mouzon Bass, Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Missouri State University's NPI active?
- Yes — Southeast Missouri State University's NPI (1871003301) is active in the NPPES registry as of the last update on 2021-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.