NPI 1477980837 · live from the CMS NPI Registry
Capital Region Medical Center
Family Medicine in Jefferson City, MO. National Provider Identifier 1477980837, active.
NPI record
| NPI | 1477980837 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1125 Madison St, Jefferson City, MO 65101 |
| Practice phone | 573-632-5583 |
| Enumerated | October 1, 2013 |
| Last updated | July 29, 2020 |
| Authorized official | Tom Luebbering, Vice President Of Finance |
| Other names | Capital Region Physicians |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Pediatrics | 208000000X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Preventive Medicine, Occupational Medicine | 2083X0100X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| Surgery | 208600000X | — |
| General Practice | 208D00000X | — |
| Hospitalist | 208M00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.