CAPITAL REGION MEDICAL CENTER (NPI# 1487631776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487631776 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION MEDICAL CENTER |
| Other Organization Name | CAPITAL REGION PHYSICIANS - VERSAILLES |
| Practice Address |
901 Kidwell Dr Versailles MO 65084-1784 |
| Practice Telephone | 5733784666 |
| Practice Fax Number | 5733785099 |
| Mailing Telephone | 5733784666 |
| Mailing Fax Number | 5733785099 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-08-23 |
| Authorized Official Name | TOM LUEBBERING (VP OF FINANCE) |
| Authorized Official Telephone | 5736325100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500383609 | 05 |
| Other Name | Type Code |
|---|---|
| Capital Region Physicians - Versailles | 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 |
901 KIDWELL DR |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508152992 | Amanda Kay Shipp | Family Medicine | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2011-06-23 |
| 1285897827 | Crystal Cook | Family Medicine | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2008-07-03 |
| 1992910442 | Darrell James Shirk | Pharmacist | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2007-05-10 |
| 1407070816 | Jerri Dawn Robertson | Neuromusculoskeletal Medicine & OMM | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2007-04-13 |
| 1699890301 | Thomas N Todd Jr. | Pharmacist | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2007-03-20 |
| 1922032903 | Laurie Pharmacy Inc | Pharmacy | 901 Kidwell Dr, Versailles, MO 65084 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1649453408 | Kidwell Home | Assisted Living Facility | 1000 Kidwell Drive, Versailles, MO 65084 | 2007-12-14 |
| 1558480640 | Diana Moree Burdick | Nurse Practitioner | 102 North Fisher, Versailles, MO 65084 | 2007-03-28 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| Find all providers in zip 65084 | ||||
| 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 |
|---|---|---|---|---|
| 1477862936 | Citizens for Health and Wellness | Family Medicine | 102 N Fisher St, Versailles, MO 65084-1202 | 2010-10-01 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1881795441 | Katherine E. Froeschle | Family Medicine | 14093 Hopewell Rd, Versailles, MO 65084-4459 | 2006-09-26 |
| 1306807185 | Jennifer L Rawlins | Family Medicine | 10484 Kley Rd, Versailles, OH 45380-9561 | 2006-03-31 |
| 1003883646 | Daniel J Elshoff | Family Medicine | 471 Marker Rd, Versailles, OH 45380-9324 | 2006-03-02 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1285610535 | Ellen Divas Webb | Family Medicine | 220 Frankfort St, Suite 2, Versailles, KY 40383 | 2005-12-19 |
| 1609861970 | William J Graul Jr. | Family Medicine | 102 Breckenridge Lane, Versailles, KY 40383-1474 | 2005-09-13 |
| 1235131699 | William S Foley Jr. | Family Medicine | 251 Rose Hill Ave, Versailles, KY 40383-1223 | 2005-08-15 |
| Find all providers in VERSAILLES | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
Please comment or provide details below to improve the information on CAPITAL REGION MEDICAL CENTER.
| 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.