CAPITAL REGION MEDICAL CENTER


Address: 1616 Southridge Dr, Suite 203, Jefferson City, MO 65109-5677
Phone: 5736597300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Capital Region Physicians - Dr. Lavery 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 1616 SOUTHRIDGE DR
SUITE 203
City JEFFERSON CITY
State MO
Zip Code 65109-5677

Providers in the same location

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

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 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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

Competitor

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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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