CAPITAL REGION MEDICAL CENTER (NPI# 1386885390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386885390 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION MEDICAL CENTER |
| Other Organization Name | UNIVERSITY ORTHOPAEDICS AT CAPITAL REGION MEDICAL CENTER |
| Practice Address |
1432 Southwest Blvd Jefferson City MO 65109-2444 |
| Mailing Address |
Po Box 1128 Jefferson City MO 65102-1128 |
| Practice Telephone | 5736325582 |
| Practice Fax Number | 5736325876 |
| Mailing Telephone | 5736325582 |
| Mailing Fax Number | 5736325876 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | JAMES R MCMILLAN (VP-FINANCE) |
| Authorized Official Telephone | 5736325100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| University Orthopaedics at Capital Region Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821228388 | Capital Region Medical Center | Internal Medicine | 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 | 2009-07-19 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1285810093 | Capital Region Medical Center | Family Medicine | 309 N. Main Street, Chamois, MO 65024 | 2008-01-11 |
| 1215057542 | Capital Region Medical Center | Physical Therapist | 1015 Moreau Dr, Jefferson City, MO 65101-3518 | 2007-03-30 |
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1134188741 | Capital Region Medical Center | Clinic/Center | 3536 Kuhne Road, Owensville, MO 65066 | 2006-03-22 |
| 1215906433 | Capital Region Medical Center | Family Medicine | 2nd Street and Oak, Stover, MO 65078 | 2006-03-17 |
| 1710959598 | Capital Region Medical Center | Family Medicine | 180 Northstar St, Holts Summit, MO 65043-1123 | 2006-02-06 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| Street Address |
1432 SOUTHWEST BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166481 | Shelby D Rifkin | Internal Medicine | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2005-10-05 |
| 1942816897 | Ashley Nicole Bramer | Speech-Language Pathologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-09-16 |
| 1891319877 | Derek Scott Parker | Physical Therapist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-06-04 |
| 1205489630 | Jamie Lynn Wilson | Social Worker | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-24 |
| 1902459910 | Miranda L Backes | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-18 |
| 1356809297 | Stacy Lynn Stegeman | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-03-11 |
| 1295207371 | Mary Blochberger | Specialist/Technologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2018-12-29 |
| 1053714154 | Wesley Clifford Thompson | Psychologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2014-10-02 |
| 1235473380 | Nicole Danielle Borrenpohl | Nurse Practitioner | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-11-15 |
| 1679825244 | Capital Region Medical Center | Radiology | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428816 | Tennessee Valley Orthopaedics, LLC | Orthopaedic Surgery | 110 Hospital Dr Ste G20, Jefferson City, TN 37760-5281 | 2020-05-13 |
| 1386726461 | Mid Missouri Hand & Orthopedic Surgery Inc | Orthopaedic Surgery | 1433 Southwest Blvd, Jefferson City, MO 65109-2429 | 2006-10-19 |
| 1851336192 | Thomas Ray Turnbaugh | Orthopaedic Surgery | 1616 Southridge Dr Ste 202, Jefferson City, MO 65109-5677 | 2006-06-19 |
| 1346226289 | Jonathan M Craighead | Orthopaedic Surgery | 1225 West Stadium Blvd, Jefferson City, MO 65109 | 2005-12-22 |
| 1215913488 | John J. Krautmann | Orthopaedic Surgery | 1225 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-12-20 |
| 1275829764 | Lauren Platt Cook | Orthopaedic Surgery | 1125 Madison St, Jefferson City, MO 65101-5227 | 2011-06-22 |
| 1093925703 | Joyce Marie Wilson | Orthopaedic Surgery | 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 | 2007-05-23 |
| 1255472718 | David L. Flood | Orthopaedic Surgery | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2007-02-09 |
| 1851457881 | Jefferson City Medical Group, P.C. | Orthopaedic Surgery | 1241 W Stadium Blvd, Lower Level, Suite 400a, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1326134925 | Jeff A Lehmen | Orthopaedic Surgery | 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 | 2006-10-04 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.