JEFFERSON CITY MEDICAL GROUP, PC (NPI# 1437668746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437668746 |
| Entity Type | Organization |
| Organization Name | JEFFERSON CITY MEDICAL GROUP, PC |
| Other Organization Name | MISSOURI VALLEY PHYSICIANS A DIVISION OF JCMG |
| Practice Address |
2303 S Highway 65 Ste A Marshall MO 65340-3735 |
| Mailing Address |
Po Box 104240 Jefferson City MO 65110-4240 |
| Practice Telephone | 6608863364 |
| Practice Fax Number | 6608866044 |
| Mailing Telephone | 5735565771 |
| Mailing Fax Number | 5736369756 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | MRS. MELISSA G ASTIN (VP OF OPERATIONS) |
| Authorized Official Telephone | 5735567774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Missouri Valley Physicians A Division of JCMG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083897862 | Jefferson City Medical Group, PC | Family Medicine | 606 E Buchanan St, California, MO 65018-1910 | 2007-12-14 |
| 1710400221 | Jefferson City Medical Group, PC | Clinic/Center | 606 E Buchanan St, California, MO 65018-1910 | 2017-07-18 |
| 1174979520 | Jefferson City Medical Group, PC | Emergency Medicine | 1735 Elm Court, Jefferson City, MO 65101 | 2016-05-04 |
| 1396135984 | Jefferson City Medical Group, PC | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2015-02-03 |
| 1164830337 | Jefferson City Medical Group, PC | Anesthesiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-07-31 |
| 1457763633 | Jefferson City Medical Group, PC | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-05-22 |
| 1922434349 | Jefferson City Medical Group, PC | Orthopaedic Surgery | 226 E Us Highway 54, Camdenton, MO 65020-6819 | 2013-09-17 |
| 1700130168 | Jefferson City Medical Group, PC | Family Medicine | 3527 W Truman Blvd, Suite 100, Jefferson City, MO 65109-5715 | 2012-11-06 |
| 1346513207 | Jefferson City Medical Group, PC | Internal Medicine | 5816 Osage Beach Pkwy Ste 105, Osage Beach, MO 65065-3046 | 2012-02-22 |
| 1982983912 | Jefferson City Medical Group, PC | Surgery | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2011-08-09 |
| Street Address |
2303 S HIGHWAY 65 STE A |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235533498 | Jefferson City Medical Group-p C | Internal Medicine | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2014-10-17 |
| 1356801328 | Justin Scot Cortez | Nurse Practitioner | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2019-03-25 |
| 1316435225 | Tracy Jean Guthrie | Nurse Practitioner | 2303 S Highway 65 Ste A, Marshall, MO 65340 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083990808 | Marshall Rural Health Clinic | Clinic/Center | 805 Lindsey St, Marshall, TX 75670-5249 | 2011-10-25 |
| 1902827512 | Missouri Valley Physicians P C | Clinic/Center | 2303 S. Hwy 65, Marshall, MO 65340 | 2006-07-21 |
| 1457325649 | Harrison County Hospital Association | Clinic/Center | 618 S Grove St Ste 100, Marshall, TX 75670-5294 | 2006-02-14 |
| 1144293978 | Harrison County Hospital Association | Clinic/Center | 707 S Grove St, Marshall, TX 75670-5220 | 2006-02-10 |
| 1750361085 | Harrison County Hospital Association | Clinic/Center | 805 Lindsey Dr, Marshall, TX 75670-5271 | 2006-01-20 |
| 1205817319 | Marshall Rural Health Clinic | Clinic/Center | 703 S Washington Ave, Marshall, TX 75670-5337 | 2005-11-07 |
| 1417948290 | North Arkansas Regional Medical Center | Clinic/Center | 211 Airport Road, Marshall, AR 72650 | 2005-11-02 |
| 1609391911 | Access Medical Clinic Arkansas LLC | Clinic/Center | 942 Highway 65 N, Marshall, AR 72650-7772 | 2017-08-08 |
| 1578995528 | Harrison County Hospital Association | Clinic/Center | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2013-08-01 |
| 1215059985 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-04-04 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.