JEFFERSON CITY MEDICAL GROUP, PC (NPI# 1174979520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174979520 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CITY MEDICAL GROUP, PC |
| Other Organization Name | EXPRESS CARE OF JCMG |
| Practice Address |
1735 Elm Court Jefferson City MO 65101 |
| Mailing Address |
1241west Stadium Blvd Jefferson City MO 65109 |
| Practice Telephone | 5736355264 |
| Practice Fax Number | 5736326645 |
| Mailing Telephone | 5736355264 |
| Mailing Fax Number | 5736326645 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | REESE E THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 5736355264 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Express Care of JCMG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083897862 | Jefferson City Medical Group, PC | Family Medicine | 606 E Buchanan St, California, MO 65018-1910 | 2007-12-14 |
| 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 |
| 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 |
1735 ELM COURT |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215119508 | Allergy Asthma & Immunology Services, LLC | Allergy & Immunology | 1735 Elm Court, Jefferson City, MO 65101-4129 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154417178 | Edwin Dean Breshears | Emergency Medicine | 3308 West Edgewood, Suite B, Jefferson City, MO 65109-6891 | 2006-10-05 |
| 1851484349 | Vickie Jean Park | Emergency Medicine | 100 St. Mary's Medical Plaza, Jefferson City, MO 65101 | 2006-10-02 |
| 1467465799 | Charles Wayne Judy | Emergency Medicine | 100 St Marys Health Plaza, Jefferson City, MO 65101 | 2006-08-15 |
| 1255340113 | William Donald Musick | Emergency Medicine | 100 St. Mary's Plaza, Jefferson City, MO 65201 | 2006-08-07 |
| 1992786693 | Michael D. Wilson | Emergency Medicine | 1036 Satinwood Ct, Jefferson City, MO 65109-1809 | 2005-11-09 |
| 1477548352 | Thomas B Nittler | Emergency Medicine | 100 Saint Marys Plz, Jefferson City, MO 65101-1602 | 2005-09-15 |
| 1821531625 | Meadow Spring Primary Care | Emergency Medicine | 1526 Meadow Spring Dr, Jefferson City, TN 37760 | 2016-11-28 |
| 1346655636 | Jared Emery | Emergency Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2014-06-25 |
| 1912249814 | Joshua Porter | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2013-03-19 |
| 1205152105 | Richard Baird | Emergency Medicine | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2010-04-16 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
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| 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.