JEFFERSON CITY MEDICAL GROUP P.C. NPI 1871549345

NPI Information

  • NPI: 1871549345
  • Provider Name: JEFFERSON CITY MEDICAL GROUP, P.C.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: JCMG PODIATRY
  • Address: 1241 W STADIUM BLVD
    SUITE L400B
    JEFFERSON CITY, MO
    ZIP 65109
  • Phone: (573) 556-5747

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NPI Details

JEFFERSON CITY MEDICAL GROUP, P.C. is a podiatrist in Jefferson City, MO. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JEFFERSON CITY MEDICAL GROUP, P.C. NPI is 1871549345. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jcmg Podiatry.

The provider's business location address is:

1241 W STADIUM BLVD
SUITE L400B
JEFFERSON CITY, MO
ZIP 65109-023
Phone: (573) 556-5747
Fax: (573) 636-9756

The provider's authorized official is Jeffrey Lee Patrick .
The authorized official title is President and has the following contact phone number (573) 635-5264.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/3/2024.

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
1213E00000XPodiatristYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

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
1506292002MEDICAIDMISSOURI
20428190006OTHERMISSOURIDMERC/NORIDIAN
3CC7852OTHERMISSOURIMEDICARE RAILROAD

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: 3/30/2025

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