Jefferson City Medical Group, P.C. in Jefferson City - Gynecology

Jefferson City Medical Group, P.C. - NPI 1467518423

Jefferson City Medical Group, P.C. is a Gynecology in Jefferson City, Missouri. Jefferson City Medical Group, P.C. practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Jefferson City Medical Group, P.C. is 1467518423. The last update date is 2010-05-12.

Jefferson City Medical Group, P.C.'s current location address is Po Box 104240, Jefferson City, Missouri. You can contact this provider via phone number 5735567717 and fax number 5735561717. The mailing address for Jefferson City Medical Group, P.C. is Po Box 104240, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jefferson City Medical Group, P.C.
Address Po Box 104240, Jefferson City, Missouri
Phone Number 5735567717
Fax Number 5735561717
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COO
Authorized Official Name Craighead Michael
Credentials M.D.
Telephone Number 5735567776

NPI Number Detail

NPI Number 1467518423
Provider Enumeration Date 2006-12-27
Last Updated Date 2010-05-12

Provider Mailing Address Detail

Address Po Box 104240
City Jefferson City
State Missouri (MO)
Post Code 651104240
Phone Number 5735567717
Fax Number 5735561717

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
507560001 MO --
CC7852 MO MEDICARE RAILROAD

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FAQs about Jefferson City Medical Group, P.C.

What is the unique 10-digit identification code assigned to Jefferson City Medical Group, P.C. by the Centers for Medicare & Medicaid Services?

The Jefferson City Medical Group, P.C. has been issued the NPI (National Provider Identifier) 1467518423, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jefferson City Medical Group, P.C. is geographically located?

The Jefferson City Medical Group, P.C. is physically situated at the following location: Po Box 104240, Jefferson City, MO, 651104240.

What is Jefferson City Medical Group, P.C.'s area of expertise and its corresponding taxonomy classification?

The Jefferson City Medical Group, P.C.'s field of specialization is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1467518423 to Jefferson City Medical Group, P.C.?

The Jefferson City Medical Group, P.C. received its 1467518423 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.

As of what date were the Jefferson City Medical Group, P.C.'s details last updated?

The information pertaining to the Jefferson City Medical Group, P.C., including its address, specialty, and other details, was most recently updated on 2010-05-12.

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