JEFFERSON CITY MEDICAL GROUP, PC (NPI# 1083897862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083897862 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CITY MEDICAL GROUP, PC |
| Other Organization Name | JCMG FAMILY HEALTH CLINIC |
| Practice Address |
606 E Buchanan St California MO 65018-1910 |
| Mailing Address |
Po Box 104240 Jefferson City MO 65110-4240 |
| Practice Telephone | 5737963600 |
| Practice Fax Number | 5737967251 |
| Mailing Telephone | 5736355246 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2018-12-26 |
| Authorized Official Name | DR. JEFFREY LEE PATRICK (PRESIDENT) |
| Authorized Official Telephone | 5736355264 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36976 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JCMG Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668746 | Jefferson City Medical Group, PC | Clinic/Center | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2017-09-29 |
| 1710400221 | Jefferson City Medical Group, PC | Clinic/Center | 606 E Buchanan St, California, MO 65018-1910 | 2017-07-18 |
| 1174979520 | Jefferson City Medical Group, PC | Emergency Medicine | 1735 Elm Court, Jefferson City, MO 65101 | 2016-05-04 |
| 1396135984 | Jefferson City Medical Group, PC | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2015-02-03 |
| 1164830337 | Jefferson City Medical Group, PC | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-07-31 |
| 1457763633 | Jefferson City Medical Group, PC | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-05-22 |
| 1922434349 | Jefferson City Medical Group, PC | Orthopaedic Surgery | 226 E Us Highway 54, Camdenton, MO 65020-6819 | 2013-09-17 |
| 1700130168 | Jefferson City Medical Group, PC | Family Medicine | 3527 W Truman Blvd, Suite 100, Jefferson City, MO 65109-5715 | 2012-11-06 |
| 1346513207 | Jefferson City Medical Group, PC | Internal Medicine | 5816 Osage Beach Pkwy Ste 105, Osage Beach, MO 65065-3046 | 2012-02-22 |
| 1982983912 | Jefferson City Medical Group, PC | Surgery | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2011-08-09 |
| Street Address |
606 E BUCHANAN ST |
| City | CALIFORNIA |
| State | MO |
| Zip Code | 65018-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710400221 | Jefferson City Medical Group, PC | Clinic/Center | 606 E Buchanan St, California, MO 65018-1910 | 2017-07-18 |
| 1790237949 | Bethany Renee Volkart | Nurse Practitioner | 606 E Buchanan St, California, MO 65018-1910 | 2016-11-03 |
| 1407081532 | Michelle Ann Nolph | Nurse Practitioner | 606 E Buchanan St, California, MO 65018-1910 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1114239092 | Jill Denise Smith Radkowiec | Optometrist | 202 E North Street, California, MO 65018 | 2010-07-08 |
| 1346269974 | Eric C Lange | Physical Therapist | 604 East Buchanan Street, California, MO 65018 | 2006-07-18 |
| 1639137003 | Jason R Hoffmeyer | Social Worker | 318 Oak St, California, MO 65018 | 2006-05-03 |
| 1376515783 | Richard O Watson | Internal Medicine | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1912384256 | You Turn Inc | Community/Behavioral Health | 318 S Oak, California, MO 65018 | 2015-05-06 |
| 1295707693 | Jan Finney | General Practice | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1285795740 | Moniteau County R-i School | Local Education Agency (LEA) | 211 S Owen St, Suite B, California, MO 65018-1115 | 2006-12-12 |
| 1730363789 | Trisha Lynn Meisenheimer | Physical Therapist | 101 S Owen St, California, MO 65018-1150 | 2007-12-27 |
| Find all providers in zip 65018 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801184759 | Lakshmi Lavanya Marella | Family Medicine | 22590 Shady Ct Fl 1, California, MD 20619-5009 | 2011-07-13 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1215114749 | Shah Associates Md LLC | Family Medicine | 23415 Three Notch Rd # Store50, California, MD 20619-4017 | 2008-01-28 |
| 1245264563 | Narasimham Iswara | Family Medicine | 22576 Macarthur Blvd, California, MD 20619-3086 | 2006-07-10 |
| 1336104660 | Min H Park | Family Medicine | 217 Wood St, California, PA 15419 | 2006-04-19 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1770574352 | Allison Francis Verenna | Family Medicine | 415 3rd St, California, PA 15419-1102 | 2005-11-02 |
| 1851382535 | Marvin Mcgowan | Family Medicine | 1152 Wood St, California, PA 15419-1260 | 2005-11-02 |
| 1952393530 | Janet E Akremi | Family Medicine | 800 W Buchanan St, California, MO 65018-1270 | 2005-08-18 |
| 1821590878 | Christine Ridpath | Family Medicine | 22590 Shady Ct, California, MD 20619 | 2018-03-06 |
| Find all providers in CALIFORNIA | ||||
| City | CALIFORNIA |
| Zip Code | 65018 |
Please comment or provide details below to improve the information on JEFFERSON CITY MEDICAL GROUP, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.