CAPITAL REGION MEDICAL CENTER (NPI# 1710959598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710959598 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION MEDICAL CENTER |
| Other Organization Name | CAPITAL REGION PHYSICIANS - HOLTS SUMMIT |
| Practice Address |
180 Northstar St Holts Summit MO 65043-1123 |
| Practice Telephone | 5738965115 |
| Practice Fax Number | 5738964272 |
| Mailing Telephone | 5738965115 |
| Mailing Fax Number | 5738964272 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2013-08-23 |
| Authorized Official Name | TOM LUEBBERING (VP OF FINANCE) |
| Authorized Official Telephone | 5736325100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 501607808 | 05 |
| Other Name | Type Code |
|---|---|
| Capital Region Physicians - Holts Summit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821228388 | Capital Region Medical Center | Internal Medicine | 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 | 2009-07-19 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1285810093 | Capital Region Medical Center | Family Medicine | 309 N. Main Street, Chamois, MO 65024 | 2008-01-11 |
| 1215057542 | Capital Region Medical Center | Physical Therapist | 1015 Moreau Dr, Jefferson City, MO 65101-3518 | 2007-03-30 |
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1134188741 | Capital Region Medical Center | Clinic/Center | 3536 Kuhne Road, Owensville, MO 65066 | 2006-03-22 |
| 1215906433 | Capital Region Medical Center | Family Medicine | 2nd Street and Oak, Stover, MO 65078 | 2006-03-17 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| 1487631776 | Capital Region Medical Center | Family Medicine | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2005-12-28 |
| Street Address |
180 NORTHSTAR ST |
| City | HOLTS SUMMIT |
| State | MO |
| Zip Code | 65043-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285863340 | Walter A Henderson Jr. | Dentist | 320 S. Summit Dr., Holts Summit, MO 65043 | 2009-07-10 |
| 1356452155 | St Marys Holts Summit Phar | Pharmacy | 140 Northstar, Holts Summit, MO 65043 | 2006-08-31 |
| 1881666865 | James R Ennis | General Practice | 180 Northstar, Holts Summit, MO 65043 | 2006-02-03 |
| 1952357352 | Ssm Regional Health Services | Clinic/Center | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-05-26 |
| 1033170006 | Lorrie L Campbell | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-03-30 |
| 1285117622 | Linda Faye Cook | Pharmacy | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2018-09-12 |
| 1841552700 | Morgan John Schiermeier | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2012-06-15 |
| 1235151440 | Curtis W Dyer | Family Medicine | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-07-24 |
| 1811310469 | Lindsey Diane Holt | Occupational Therapist | 93 S Larand Dr, Holts Summit, MO 65043-1132 | 2014-01-31 |
| 1518367150 | Abby Zanaboni | Speech-Language Pathologist | 2715 State Road Aa, Holts Summit, MO 65043-1241 | 2014-09-02 |
| Find all providers in zip 65043 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170006 | Lorrie L Campbell | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-03-30 |
| 1841552700 | Morgan John Schiermeier | Family Medicine | 180 Northstar Dr, Holts Summit, MO 65043-1123 | 2012-06-15 |
| 1235151440 | Curtis W Dyer | Family Medicine | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | HOLTS SUMMIT |
| Zip Code | 65043 |
Please comment or provide details below to improve the information on CAPITAL REGION MEDICAL CENTER.
| 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.