NPI

Jefferson City Medical Group, P.c.

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-05-26
Last updated
2024-10-03

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1241 W Stadium Blvd, Suite L400b
City
Jefferson City MO
Postal code
65109-6023
Phone
(573) 556-5747

Organization contact

Name
JEFFREY PATRICK
Title
President
Phone
5736355264

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Other NPIs in Jefferson City, MO. 1,891 records in the public file.

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