CAPITAL REGION MEDICAL CENTER (NPI# 1730151143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730151143 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION MEDICAL CENTER |
| Other Organization Name | CAPITAL REGION PHYSICIANS - CALIFORNIA |
| Practice Address |
704 Buchanan Hwy Sw California MO 65018 |
| Practice Telephone | 5737963111 |
| Practice Fax Number | 5737963042 |
| Mailing Telephone | 5737963111 |
| Mailing Fax Number | 5737963042 |
| Enumeration Date | 2006-02-02 |
| 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 | 507984300 | 05 | |
| MO | RR MEDICARE | CK5622 | 01 |
| Other Name | Type Code |
|---|---|
| Capital Region Physicians - California | 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 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| 1487631776 | Capital Region Medical Center | Family Medicine | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2005-12-28 |
| Street Address |
704 BUCHANAN HWY SW |
| City | CALIFORNIA |
| State | MO |
| Zip Code | 65018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1114239092 | Jill Denise Smith Radkowiec | Optometrist | 202 E North Street, California, MO 65018 | 2010-07-08 |
| 1346269974 | Eric C Lange | Physical Therapist | 604 East Buchanan Street, California, MO 65018 | 2006-07-18 |
| 1639137003 | Jason R Hoffmeyer | Social Worker | 318 Oak St, California, MO 65018 | 2006-05-03 |
| 1376515783 | Richard O Watson | Internal Medicine | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1912384256 | You Turn Inc | Community/Behavioral Health | 318 S Oak, California, MO 65018 | 2015-05-06 |
| 1295707693 | Jan Finney | General Practice | 704 Buchanan, Hwy 50 W, California, MO 65018 | 2006-02-02 |
| 1285795740 | Moniteau County R-i School | Local Education Agency (LEA) | 211 S Owen St, Suite B, California, MO 65018-1115 | 2006-12-12 |
| 1730363789 | Trisha Lynn Meisenheimer | Physical Therapist | 101 S Owen St, California, MO 65018-1150 | 2007-12-27 |
| 1922477595 | Nicole E. Raithel | Speech-Language Pathologist | 101 S Owen St, California, MO 65018-1150 | 2015-09-24 |
| Find all providers in zip 65018 | ||||
| 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 |
|---|---|---|---|---|
| 1801184759 | Lakshmi Lavanya Marella | Family Medicine | 22590 Shady Ct Fl 1, California, MD 20619-5009 | 2011-07-13 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1215114749 | Shah Associates Md LLC | Family Medicine | 23415 Three Notch Rd # Store50, California, MD 20619-4017 | 2008-01-28 |
| 1083897862 | Jefferson City Medical Group, PC | Family Medicine | 606 E Buchanan St, California, MO 65018-1910 | 2007-12-14 |
| 1245264563 | Narasimham Iswara | Family Medicine | 22576 Macarthur Blvd, California, MD 20619-3086 | 2006-07-10 |
| 1336104660 | Min H Park | Family Medicine | 217 Wood St, California, PA 15419 | 2006-04-19 |
| 1770574352 | Allison Francis Verenna | Family Medicine | 415 3rd St, California, PA 15419-1102 | 2005-11-02 |
| 1851382535 | Marvin Mcgowan | Family Medicine | 1152 Wood St, California, PA 15419-1260 | 2005-11-02 |
| 1952393530 | Janet E Akremi | Family Medicine | 800 W Buchanan St, California, MO 65018-1270 | 2005-08-18 |
| 1821590878 | Christine Ridpath | Family Medicine | 22590 Shady Ct, California, MD 20619 | 2018-03-06 |
| Find all providers in CALIFORNIA | ||||
| City | CALIFORNIA |
| Zip Code | 65018 |
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.