CAPITAL REGION MEDICAL CENTER (NPI# 1588979900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588979900 |
Entity Type | Organization |
Organization Name | CAPITAL REGION MEDICAL CENTER |
Other Organization Name | CAPITAL REGION PHYSICIANS - DR. LAVERY |
Practice Address |
1616 Southridge Dr Suite 203 Jefferson City MO 65109-5677 |
Practice Telephone | 5736597300 |
Practice Fax Number | 5736360555 |
Mailing Telephone | 5736597300 |
Mailing Fax Number | 5736360555 |
Enumeration Date | 2010-08-10 |
Last Update Date | 2014-08-21 |
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 | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Capital Region Physicians - Dr. Lavery | 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 |
1616 SOUTHRIDGE DR SUITE 203 |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65109-5677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043315385 | John D Spears | Orthopaedic Surgery | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2006-09-13 |
1265686125 | Missouri Spine Institute, LLC | Orthopaedic Surgery | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2008-11-05 |
1649431420 | Jason Thomas | Registered Nurse | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2008-06-24 |
1700093937 | Turnbaugh Surgical Associates, Inc | Durable Medical Equipment & Medical Supplies | 1616 Southridge Dr, Suite 202, Jefferson City, MO 65109-5677 | 2007-05-17 |
1043319957 | Family Medicine of Jefferson City, LLC | Family Medicine | 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109-5677 | 2006-09-21 |
1083719975 | Daniel P Lavery | Family Medicine | 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109-5677 | 2006-09-14 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
1366865263 | Align Chiropractic Clinic LLC | Clinic/Center | 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109-6896 | 2014-01-28 |
1487961173 | Mountain View Pediatrics and Internal Medicine | Clinic/Center | 657 E Broadway Blvd, Jefferson City, TN 37760-4948 | 2010-09-02 |
1770804734 | Capital Region Medical Center | Clinic/Center | 1125 Madison St, Jefferson City, MO 65101-5227 | 2010-06-14 |
1942528930 | Jefferson Pulmonary Group | Clinic/Center | 120 Hospital Dr Ste 220, Jefferson City, TN 37760-5286 | 2010-05-14 |
1740415025 | Jefferson Hearts Consultants | Clinic/Center | 120 Hospital Dr, Suite 250, Jefferson City, TN 37760-5287 | 2009-05-15 |
1962637231 | Baptist Primary & Senior Healthcare Clinic Jefferson City | Clinic/Center | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2009-05-15 |
1467597872 | Family Counseling Center of Missouri Inc | Clinic/Center | 204 Metro Dr, Suite B, Jefferson City, MO 65109-4408 | 2007-02-21 |
1679510861 | Ssm Regional Health Services | Clinic/Center | 200 Saint Marys Plz, Suite 201, Jefferson City, MO 65101-1604 | 2006-05-31 |
1649217837 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr, Suite 310, Jefferson City, MO 65109-9508 | 2006-05-31 |
Find all providers in JEFFERSON CITY |
City | JEFFERSON CITY |
Zip Code | 65109 |
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.