JANET E THEBY MD NPI 1801874243

NPI Information

NPI: 1801874243
Provider Name: JANET E THEBY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2707 W EDGEWOOD DR
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-0233
Get Directions

Janet E Theby, MD is a family medicine in Jefferson City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Janet E Theby, MD NPI is 1801874243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2707 W EDGEWOOD DR
JEFFERSON CITY, MO
ZIP 65109-888
Phone: (573) 635-0233
Fax: (573) 635-7436

The NPI 1801874243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2006 and was last updated on 9/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		105073	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	508069101	MEDICAID	MISSOURI
2	25147	OTHER		BLUE CROSS BLUE SHIELD
3	B08074	OTHER		MERCY
4	CH5818	OTHER		RR MEDICARE
5	B08074	MEDICARE UPIN
6	080193832	OTHER		RR MEDICARE
7	4640661	OTHER		CIGNA
8	P00099221	OTHER		RR MEDICARE
9	206878241	MEDICAID	MISSOURI
10	1196653	OTHER		FIRST HEALTH
11	241056	OTHER		HEALTHLINK
12	CD6730	OTHER		RR MEDICARE
13	44 0546366	OTHER		UNITED HEALTHCARE
14	CK7821	OTHER		RR MEDICARE
15	206878258	MEDICAID	MISSOURI
16	500383609	MEDICAID	MISSOURI
17	501607808	MEDICAID	MISSOURI
18	206878233	MEDICAID	MISSOURI
19	080187712	OTHER		RR MEDICARE
20	012012090	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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