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Export Provider Record NPI 1215093257
Jefferson City Medical Group, P.c.
Organization Subpart: NO
Active
NPI Number1215093257
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Hematology & Oncology
Provider Details
NPI1215093257
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-12-27
Last Updated2018-12-26
Authorized OfficialJeffrey Patrick
President
Phone: 5736355264
Mailing AddressPo Box 104240
Jefferson City, MO 65110-4240
United States
📍 View Map
Primary Practice Address1241 W Stadium Blvd, Second Floor, Suite 2300
Jefferson City, MO 65109-6023
United States
Phone: (573) 635-5264
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MOCP9089MEDICARE RAILROAD
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RH0003X – Internal Medicine, Hematology & Oncology--
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About NPI 1215093257

Jefferson City Medical Group, P.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1215093257. The primary specialty listed is Internal Medicine, Hematology & Oncology. The organization is located in Jefferson City, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215093257?

NPI 1215093257 belongs to Jefferson City Medical Group, P.c., a Internal Medicine, Hematology & Oncology in Jefferson City, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215093257 active?

The current status of NPI 1215093257 in the NPPES registry is Active. The record was last updated on 2018-12-26.

What specialty is NPI 1215093257?

NPI 1215093257 is classified under the taxonomy Internal Medicine, Hematology & Oncology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215093257?

You can verify NPI 1215093257 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215093257?

The primary practice address on file for NPI 1215093257 is 1241 W Stadium Blvd, Jefferson City, MO 65109-6023. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215093257 issued?

NPI 1215093257 was first issued (enumerated) on 2006-12-27. The NPPES record was last updated on 2018-12-26.

Practice Location Map

Jefferson City Medical Group, P.c. is located at 1241 W Stadium Blvd, Jefferson City, MO. Use the map below to find directions or verify the practice location.

📍 1241 W Stadium Blvd, Jefferson City, MO 65109-6023  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jefferson City Medical Group, P.c.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162