Jcmg Podiatry
LBN: Jefferson City Medical Group, P.C.
Jcmg Podiatry is an health care organization with primary practice located at 1241 W Stadium Blvd Suite L400B, Jefferson City MO 65109-6023. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Jefferson City Medical Group, P.C. can be contacted via phone (573) 556-5747, or through Patrick, Jeffrey Lee via phone (573) 635-5264.
Contact Information
Primary practice address
1241 W Stadium Blvd Suite L400B
Jefferson City MO 65109-6023
Phone: (573) 556-5747
Fax: (573) 636-9756
Website:
Authorized official contact:
Name: Patrick, Jeffrey Lee Doctor of Medicine (MD)
Phone: (573) 635-5264
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1871549345 |
|---|---|
| LBN Legal business name | Jefferson City Medical Group, P.C. |
| DBA Doing business as | Jcmg Podiatry |
| Authorized official | Patrick, Jeffrey Lee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | May 9th, 2023 - about last year |
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 | 1871549345 | NPPES |
| Missouri | MEDICAID | 506292002 | |
| Missouri | Other | 0428190006 | |
| Missouri | Other | CC7852 |
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