JEFFERSON CITY MEDICAL GROUP, PC (NPI# 1922434349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922434349 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CITY MEDICAL GROUP, PC |
| Other Organization Name | JCMG AT THE LAKE ORTHOPAEDICS AND SPORTS MEDICINE |
| Practice Address |
226 E Us Highway 54 Camdenton MO 65020-6819 |
| Mailing Address |
Po Box 104240 Jefferson City MO 65110-4240 |
| Practice Telephone | 5733463700 |
| Mailing Telephone | 5736355264 |
| Mailing Fax Number | 5735565757 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | RICHARD JENNETT (PRESIDENT) |
| Authorized Official Telephone | 5735565771 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R3P44 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JCMG at The Lake Orthopaedics and Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083897862 | Jefferson City Medical Group, PC | Family Medicine | 606 E Buchanan St, California, MO 65018-1910 | 2007-12-14 |
| 1437668746 | Jefferson City Medical Group, PC | Clinic/Center | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2017-09-29 |
| 1710400221 | Jefferson City Medical Group, PC | Clinic/Center | 606 E Buchanan St, California, MO 65018-1910 | 2017-07-18 |
| 1174979520 | Jefferson City Medical Group, PC | Emergency Medicine | 1735 Elm Court, Jefferson City, MO 65101 | 2016-05-04 |
| 1396135984 | Jefferson City Medical Group, PC | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2015-02-03 |
| 1164830337 | Jefferson City Medical Group, PC | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-07-31 |
| 1457763633 | Jefferson City Medical Group, PC | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-05-22 |
| 1700130168 | Jefferson City Medical Group, PC | Family Medicine | 3527 W Truman Blvd, Suite 100, Jefferson City, MO 65109-5715 | 2012-11-06 |
| 1346513207 | Jefferson City Medical Group, PC | Internal Medicine | 5816 Osage Beach Pkwy Ste 105, Osage Beach, MO 65065-3046 | 2012-02-22 |
| 1982983912 | Jefferson City Medical Group, PC | Surgery | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2011-08-09 |
| Street Address |
226 E US HIGHWAY 54 |
| City | CAMDENTON |
| State | MO |
| Zip Code | 65020-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023031762 | Brian Douglas Swanson | Physician Assistant | 226 E Us Highway 54, Camdenton, MO 65020-6819 | 2006-07-25 |
| 1043723901 | Lake Regional Medical Management | Durable Medical Equipment & Medical Supplies | 226 E Us Highway 54, Camdenton, MO 65020-6819 | 2017-11-14 |
| 1609086834 | Leslie Orthopedics and Sports Medicine Inc | Orthopaedic Surgery | 226 E Us Highway 54, Camdenton, MO 65020-6819 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295383024 | Carinda Elynn Steele | Physical Therapy Assistant | 1930 N Business 5, Camdenton, MO 65020 | 2019-08-26 |
| 1831651660 | Erin Elisabeth Sluyter | Physician Assistant | 1652 North Business Route 5, Camdenton, MO 65020 | 2019-04-01 |
| 1922575125 | Serene Shores, LLC | Counselor | 75 Court Circle Se, Camdenton, MO 65020 | 2018-10-26 |
| 1902396591 | Audrey Dawn Sheppard | Counselor | 89 Mccrory Dr, Camdenton, MO 65020 | 2018-05-18 |
| 1427586072 | Abc Laurie LLC | Chiropractor | 139 E Hwy 54 Suite 1c, Camdenton, MO 65020 | 2017-05-26 |
| 1891229878 | Benton Street Counseling LLC | Counselor | 89 Mccrory Drive, Camdenton, MO 65020 | 2017-04-17 |
| 1033658463 | Erica L Asbell | Social Worker | 172 Dare Blvd., Camdenton, MO 65020 | 2017-02-17 |
| 1376816967 | Linda Susan Sheriff | Speech-Language Pathologist | 158 Minor Street, Camdenton, MO 65020 | 2012-02-14 |
| 1285902031 | Gregory Ryan Boren | Pharmacist | 72 South Business Route 5, Camdenton, MO 65020 | 2011-12-08 |
| 1265757033 | Abcs of Wellness, LLC | Chiropractor | 139 E. Hwy 54, 1c, Camdenton, MO 65020 | 2010-04-05 |
| Find all providers in zip 65020 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588164347 | Orthopedic Associates of Jc, LLC | Orthopaedic Surgery | 19201 E Valley View Pkwy Ste C, Independence, MO 64055-6913 | 2018-02-19 |
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1922528249 | Chikezie Okeagu | Orthopaedic Surgery | 621 South New Ballas, St. Louis, MO 63141 | 2017-06-27 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1003268087 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379 | 2016-07-01 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1447660451 | Tyson Travis | Orthopaedic Surgery | 2820 E Rock Haven Rd Ste 120, Harrisonville, MO 64701-4413 | 2014-04-29 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
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| 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.