JEFFERSON CITY MEDICAL GROUP, P.C. (NPI# 1861557779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861557779 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CITY MEDICAL GROUP, P.C. |
| Other Organization Name | AHMAD M. HOOSHMAND, MD |
| Practice Address |
915 Southwest Blvd Suite E Jefferson City MO 65109-5014 |
| Practice Telephone | 5736344700 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | MICHAEL CRAIGHEAD (COO) |
| Authorized Official Telephone | 5735567776 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RAILROAD | CC7852 | 01 |
| Other Name | Type Code |
|---|---|
| Ahmad M. Hooshmand, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700084316 | Jefferson City Medical Group, P.C. | Surgery | 2511 W Edgewood Dr Ste A&h, Jefferson City, MO 65109-5869 | 2007-07-05 |
| 1194880708 | Jefferson City Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 1225 W. Stadium Blvd, Jefferson City, MO 65109 | 2006-12-26 |
| 1083661615 | Jefferson City Medical Group, P.C. | Family Medicine | 1306 E Main St, Linn, MO 65051-2503 | 2006-05-28 |
| 1811292105 | Jefferson City Medical Group, P.C. | Clinical Medical Laboratory | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2011-01-18 |
| 1275866204 | Jefferson City Medical Group, P.C. | Obstetrics & Gynecology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2009-09-09 |
| 1972668903 | Jefferson City Medical Group, P.C. | Dermatology | 1241 W Stadium Blvd, Suite 1407, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1851457881 | Jefferson City Medical Group, P.C. | Orthopaedic Surgery | 1241 W Stadium Blvd, Lower Level, Suite 400a, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1396801353 | Jefferson City Medical Group, P.C. | Physical Medicine & Rehabilitation | 1225 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1467518423 | Jefferson City Medical Group, P.C. | Obstetrics & Gynecology | 1241 W Stadium Blvd, Suite 1140, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1477618486 | Jefferson City Medical Group, P.C. | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-12-27 |
| Street Address |
915 SOUTHWEST BLVD SUITE E |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052398 | Lawrence Stewart Davis | Dentist | 915 Southwest Blvd, Ste D, Jefferson City, MO 65109-5014 | 2005-06-09 |
| 1962862060 | Showers Family & Sports Chiropractic | Chiropractor | 915 Southwest Blvd, Jefferson City, MO 65109-5014 | 2016-03-02 |
| 1215266978 | David Leroy Bollinger | Hearing Instrument Specialist | 915 Southwest Blvd, F, Jefferson City, MO 65109-5014 | 2009-12-09 |
| 1700945722 | Emily Carol Kliethermes | Chiropractor | 915 Southwest Blvd, Ste H, Jefferson City, MO 65109-5014 | 2006-12-06 |
| 1144315581 | Choosing Wellness Eagerly, Inc. | Psychologist | 915 Southwest Blvd, Suite M, Jefferson City, MO 65109 | 2006-10-03 |
| 1831175959 | Ahmad M Hooshmand | Psychiatry & Neurology | 915 Southwest Blvd, #e, Jefferson City, MO 65109-5014 | 2005-12-20 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740396035 | Mid Missouri Medical Consultants, Inc. | Psychiatry & Neurology | 1111 Madison St, Jefferson City, MO 65101-2753 | 2006-08-21 |
| 1073891552 | Prityi Rani | Psychiatry & Neurology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2011-08-01 |
| 1821228404 | Ruthanna Robin Hunter | Psychiatry & Neurology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2009-07-17 |
| 1033399076 | Capital Region Medical Center | Psychiatry & Neurology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-11-07 |
| 1508977257 | Krishna Kanth R Mettu | Psychiatry & Neurology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-08-31 |
| 1851407910 | Joseph Dean Morris | Psychiatry & Neurology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-08-22 |
| 1831175959 | Ahmad M Hooshmand | Psychiatry & Neurology | 915 Southwest Blvd, #e, Jefferson City, MO 65109-5014 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871975672 | Byungkwan Hwang | Psychiatry & Neurology | 1605 Martin Springs Dr Ste 310, Rolla, MO 65401-2996 | 2015-06-29 |
| 1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
| 1144648221 | Hala Samman | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2014-04-04 |
| 1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on JEFFERSON CITY MEDICAL GROUP, P.C..
| 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.