JEFFERSON CITY MEDICAL GROUP-P C


Address: 2303 S Highway 65 Ste A, Marshall, MO 65340-3735
Phone: 6608863364

JEFFERSON CITY MEDICAL GROUP-P C (NPI# 1235533498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235533498
Entity Type Organization
Organization Name JEFFERSON CITY MEDICAL GROUP-P C
Other Organization Name MISSOURI VALLEY PHYSICIANS A DIVISION OF JCMG
Practice Address 2303 S Highway 65 Ste A
Marshall
MO 65340-3735
Mailing Address Po Box 104240
Jefferson City
MO 65110-4240
Practice Telephone 6608863364
Practice Fax Number 6608866044
Mailing Telephone 5736355264
Mailing Fax Number 5735565757
Enumeration Date 2014-10-17
Last Update Date 2018-12-26
Authorized Official Name JEFFREY LEE PATRICK (PRESIDENT)
Authorized Official Telephone 5736355264
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 1235533498 05

Other Provider/Organization Names

Other Name Type Code
Missouri Valley Physicians A Division of JCMG Doing Business As Name - Organization

Office Location

Street Address 2303 S HIGHWAY 65 STE A
City MARSHALL
State MO
Zip Code 65340-3735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356801328 Justin Scot Cortez Nurse Practitioner 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 2019-03-25
1316435225 Tracy Jean Guthrie Nurse Practitioner 2303 S Highway 65 Ste A, Marshall, MO 65340 2018-04-25
1437668746 Jefferson City Medical Group, PC Clinic/Center 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 2017-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336791847 Gerald D Robertson Chiropractor 1566 S Odell Ave, Marshall, MO 65340 2019-07-15
1659860765 William L Pearman Nurse Practitioner Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 2018-05-03
1992204978 Susan Elizabeth Lichtenberg Speech-Language Pathologist 860 W. Vest St., Marshall, MO 65340 2018-02-06
1568974616 Falin Kay Larsen Family Medicine 2303 Us-65, Marshal, MO 65340 2017-10-30
1881132587 Dana Zinn Nurse Practitioner 1547 Commerce Dr, Marshall, MO 65340 2017-02-02
1760877179 Lifetime Dental Associates Dentist 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 2015-04-02
1780078949 Glenda Cervantes Interpreter 1324 S Ellswort Ave, Marshall, MO 65340 2015-03-26
1174922173 Michelle Stockman Licensed Practical Nurse 1004 S. Lincoln Ave, Marshall, MO 65340 2014-08-15
1730527722 Lynn C Evans Pharmacist 941 S. Cherokee, Suite 1, Marshall, MO 65340 2013-06-12
1740589753 Bethany Anne Harris Social Worker 1126 E. Hwy Ww, Marshall, MO 65340 2011-03-17
Find all providers in zip 65340

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760950737 Hospital & Medical Foundation of Paris, Inc. Family Medicine 1602 Il Hwy 1, Marshall, IL 62441 2018-11-08
1336525666 Idriss Ibrahim Family Medicine 309 E College Dr, Marshall, MN 56258-2379 2015-08-10
1417362039 Melissa Kay Gates Family Medicine 1174 W Michigan Ave Ste A, Marshall, MI 49068-1625 2014-06-23
1114362902 Charity U Eko Family Medicine 815 S Washington Ave Ste 303, Marshall, TX 75670-5358 2013-05-07
1033457429 Richard Raynor Family Medicine 2105 E Watermill Rd, Marshall, MO 65340-4684 2013-01-21
1528351178 Lori Anne Lynner Family Medicine 3160 Us Hwy 59, Marshall, MN 56258 2011-05-16
1669619441 Mark D Richardson Md PC Family Medicine 215 E Mansion St Ste 1e, Marshall, MI 49068-1167 2009-01-15
1134307663 Philip Rutherford Glotfelty IIi Family Medicine 635 N Linden St, Marshall, MI 49068-1054 2008-02-06
1104011295 Mid-missouri Family Health, LLC Family Medicine 78 S. Jefferson, Marshall, MO 65340 2007-09-11
1790983609 Jamie Lynn Longhurst Family Medicine 215 E Mansion St Ste 2a, Marshall, MI 49068 2007-07-03
Find all providers in MARSHALL

Competitor

Search similar providers

City MARSHALL
Zip Code 65340

Improve Information

Please comment or provide details below to improve the information on JEFFERSON CITY MEDICAL GROUP-P C.

Dataset Information

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.

Trending Searches