Jefferson City Medical Group, P.c., NPI 1871549345
Podiatrist in Jefferson City, MO, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1871549345 |
| NPI Entity Type | Organization |
| Provider Name |
Jefferson City Medical Group, P.c.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1241 W Stadium Blvd, Suite L400b, Jefferson City, MO, US |
| Provider Mailing Address | Po Box 104240, Jefferson City, MO, US, 651104240 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Jeffrey Lee Patrick |
| Official Position | PRESIDENT |
| Phone | 573-635-5264 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Podiatrist |
| Classification | |
| Group | |
| Description | A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| CC7852 | MO | MEDICARE RAILROAD | 01 |
| 506292002 | MO | MEDICAID | 05 |
| 0428190006 | MO | DMERC/NORIDIAN | 01 |
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