Jefferson City Orthopaedics
LBN: Jefferson City Medical Group, P.C.
Jefferson City Orthopaedics is an health care organization with primary practice located at 1225 W. Stadium Blvd , Jefferson City MO 65109. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Jefferson City Medical Group, P.C. can be contacted via phone (573) 635-8000, or through Patrick, Jeffrey Lee via phone (573) 635-5264.
Contact Information
Primary practice address
1225 W. Stadium Blvd
Jefferson City MO 65109
Phone: (573) 635-8000
Fax:
Website:
Authorized official contact:
Name: Patrick, Jeffrey Lee Doctor of Medicine (MD)
Phone: (573) 635-5264
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
NPI number | 1194880708 |
---|---|
LBN Legal business name | Jefferson City Medical Group, P.C. |
DBA Doing business as | Jefferson City Orthopaedics |
Authorized official | Patrick, Jeffrey Lee Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 26th, 2006 |
Last updated | Dec 26th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194880708 | NPPES |
Missouri | MEDICAID | 506225507 | |
Missouri | Other | CD6058 |
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