CAPITAL REGION MEDICAL CENTER


Address: 1505 Southwest Blvd, Jefferson City, MO 65109-2431
Phone: 5736325544

CAPITAL REGION MEDICAL CENTER (NPI# 1447405568) 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) 1447405568
Entity Type Organization
Organization Name CAPITAL REGION MEDICAL CENTER
Other Organization Name CAPITAL REGION PHYSICIANS - THE SLOAN CLINIC
Practice Address 1505 Southwest Blvd
Jefferson City
MO 65109-2431
Mailing Address 3306 Emerald Ln
Suite A
Jefferson City
MO 65109-6877
Practice Telephone 5736325544
Mailing Telephone 5736325544
Mailing Fax Number 5736350815
Enumeration Date 2008-11-18
Last Update Date 2014-04-10
Authorized Official Name TOM R LUEBBERING (VP OF FINANCE)
Authorized Official Telephone 5736325100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
108684 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 249990557 05

Other Provider/Organization Names

Other Name Type Code
Capital Region Physicians - The Sloan Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1505 SOUTHWEST BLVD
City JEFFERSON CITY
State MO
Zip Code 65109-2431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639129232 Capital City Medical Associates, PC Internal Medicine 1505 Southwest Blvd, Jefferson City, MO 65109-2431 2006-05-12
1932429727 Jonathan Andrew Heisinger Health Educator 1505 Southwest Blvd, Jefferson City, MO 65102-1128 2010-06-03
1447418264 Capital Region Medical Center Internal Medicine 1505 Southwest Blvd, Jefferson City, MO 65109-2431 2008-05-29
1538269873 Fayyaz Hussain Sagarwala Internal Medicine 1505 Southwest Blvd, Jefferson City, MO 65109-2431 2006-09-25

Providers in the same zip code

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 Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780789032 Bradley S Sloan Family Medicine 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 2006-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871105312 417 Sports Medicine and Orthopedics LLC Family Medicine 330 W Plainview Rd Ste F, Springfield, MO 65810-2672 2020-08-17
1871115857 Ben Heimos Family Medicine 1 S Compton Ave, Saint Louis, MO 63103-2001 2020-05-12
1639645070 Bluetail Biologics LLC Family Medicine 17300 N Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 2018-10-23
1083096671 Daniel O'loughlin Family Medicine 1605 Martin Springs Dr Ste 330, Rolla, MO 65401-2980 2015-06-19
1295175057 Devin Willis Family Medicine 16555 Manchester Rd Ste 100, Wildwood, MO 63040 2013-06-26
1922377274 Duocorp Enterprises, LLC Family Medicine 1525 E Republic Rd, Suite A115, Springfield, MO 65804-6527 2011-12-15
1689960171 Nathan Lee Granneman Family Medicine 200 Corporate Lake Dr, Columbia, MO 65203-7172 2011-06-22
1063568640 Christian Verry Family Medicine 12680 Olive Blvd Ste 300, Saint Louis, MO 63141-6322 2007-01-26
1922116763 Kristin Suzanne Oliver Family Medicine 17300 North Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 2006-08-29
1942238027 John J Dougherty Family Medicine 1010 Carondelet Dr Ste 220, Kansas City, MO 64114-4822 2006-06-29
Find all providers with the same taxonomy

Competitor

Search similar providers

City JEFFERSON CITY
Zip Code 65109

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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.

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