CAPITAL REGION RESIDENT CLINIC (NPI# 1649514050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649514050 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION RESIDENT CLINIC |
| Other Organization Name | CAPITAL REGION PHYSICIANS - DOWNTOWN URGENT CARE |
| Practice Address |
220 Madison St. Jefferson City MO 65102 |
| Mailing Address |
1111 Madison St Jefferson City MO 65101-2753 |
| Practice Telephone | 5736324900 |
| Practice Fax Number | 5736446650 |
| Mailing Telephone | 5736325027 |
| Mailing Fax Number | 5736345878 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2014-06-10 |
| 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 | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Capital Region Physicians - Downtown Urgent Care | Doing Business As Name - Organization |
| Street Address |
220 MADISON ST. |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659534386 | Cynthia L Hackathorn | Counselor | 1706 E Elm St, Jefferson City, MO 65102 | 2008-07-02 |
| 1821097783 | Scott Marrs | Family Medicine | 2511 W Edgewood, Ste D, Jefferson City, MO 65102 | 2005-07-21 |
| 1255487948 | Lynne Anne White | Occupational Therapist | 1125 Madison, Jefferson, MO 65102-1128 | 2007-01-26 |
| 1003872714 | Elbert Stinson Tillerson | Psychiatry & Neurology | 1125 Madison St., Jefferson City, MO 65102-1128 | 2006-04-21 |
| 1932429727 | Jonathan Andrew Heisinger | Health Educator | 1505 Southwest Blvd, Jefferson City, MO 65102-1128 | 2010-06-03 |
| 1164665766 | Colin Duggan | Psychologist | 1432 Southwest Blvd, Jefferson City, MO 65102-1128 | 2009-04-13 |
| 1013120583 | Christie L Stockton | Physical Therapist | 1125 Madison, Jefferson City, MO 65102-1128 | 2007-05-08 |
| 1265577852 | Bethany Naughton | Occupational Therapist | 1432 Southwest Blvd, Captial Region Home Health, Jefferson City, MO 65102-1128 | 2007-02-21 |
| 1639287915 | Heather Mcbee Johns | Social Worker | 1432 Southwest Blvd, Jefferson City, MO 65102-1128 | 2006-08-28 |
| 1801054622 | Capital Region Medical Center | Surgery | 1125 Madison St., Jefferson City, MO 65102-1236 | 2008-05-29 |
| Find all providers in zip 65102 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514293 | Mark Christopher Link | General Practice | 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109-6896 | 2006-06-08 |
| 1033182118 | Wanda Gayle Wilson | General Practice | 3559 Amazonas St, Jefferson City, MO 65109 | 2006-02-09 |
| 1174976146 | Nicolas Vassel | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-07-14 |
| 1326498999 | Justin Johnson | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-06-15 |
| 1417307083 | Chad David Law | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-06-15 |
| 1275996696 | John D Mckie | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-04-02 |
| 1821352857 | Carey Diana Vaughan | General Practice | 1014 Madison St, Jefferson City, MO 65101-3458 | 2012-06-25 |
| 1043450711 | Ssm Regional Health Services | General Practice | 2505 Mission Dr, Suite 210, Jefferson City, MO 65109-9508 | 2009-02-20 |
| 1992981039 | Rex G Hardman | General Practice | 8200 No More Victims Rd, Jefferson City, MO 65101-4539 | 2008-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65102 |
Please comment or provide details below to improve the information on CAPITAL REGION RESIDENT CLINIC.
| 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.