Jefferson City Medical Group, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFERSON CITY MEDICAL GROUP, P.C.

Practice address

1306 E Main St
Linn, MO 65051-2503

Phone

(573) 897-2202

Fax

(573) 897-3157

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Lee Patrick, M.D.

Title

President

Phone

(573) 635-5264

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Care Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jefferson City Medical Group, P.C.

  • Orthopaedic Surgery Physician
  • Jefferson City, MO
  • NPI 1194880708

  Member Of

  NPD member

Locations

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Lynn Abeln, ANP

  • Adult Health Nurse Practitioner
  • Jefferson City, MO
  • NPI 1720275027
  NPD (past)
• Jason Lee Allen, MPT, OCS, CFMM

  • Orthopedic Physical Therapist
  • Jefferson City, MO
  • NPI 1902631617
  NPD (past)
• Mariah Allen

  • Pediatrics Physician
  • Jefferson City, MO
  • NPI 1821675687
  NPD (past)
• Robin Allen, FNP-C

  • Pediatric Nurse Practitioner
  • Mexico, MO
  • NPI 1376052365
  NPD (past)
• Imran Ashraf, MD

  • Gastroenterology Physician
  • Jefferson City, MO
  • NPI 1659683498
  NPD (past)
• Saira Babar, M.D.

  • Family Medicine Physician
  • Jefferson City, MO
  • NPI 1306822317

  Family Medicine

  NPD (past)
• Janet L Barnes, A-G NP

  • Adult Health Nurse Practitioner
  • Columbia, MO
  • NPI 1669174777
  NPD (past)
• Emily Barr, APRN FNP

  • Family Nurse Practitioner
  • Fulton, MO
  • NPI 1003780370
  NPD (past)
• Indumathi Baskar, M.D.

  • Internal Medicine Physician
  • Jefferson City, MO
  • NPI 1083634331
  NPD (past)
• Jodi A Berendzen, M.D.

  • Obstetrics & Gynecology Physician
  • Jefferson City, MO
  • NPI 1356509871
  NPD (past)
• Cordie Boyd, FNP-C

  • Family Nurse Practitioner
  • Jefferson City, MO
  • NPI 1083506414
  NPD (past)
• Mary Bunch, FNP

  • Family Nurse Practitioner
  • Jefferson City, MO
  • NPI 1396296331
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1083661615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E MAIN ST",
            "city": "LINN",
            "state": "MO",
            "postal_code": "650512503",
            "telephone_number": "573-897-2202",
            "fax_number": "573-897-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E MAIN ST",
            "city": "LINN",
            "state": "MO",
            "postal_code": "650512503",
            "telephone_number": "573-897-2202",
            "fax_number": "573-897-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CITY MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-635-5264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD6061",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC7852",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD6058",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Kevin Elliott, DC
• General Baptist Nursing Home of Linn
• Marcia Heberle
• Jarco Pharmacies, Inc.
• Jarco, Inc.
• Christopher James Manibusan Johnson
• Journeys Counseling Limited Liability Company
• Keep That Smile Counseling LLC
• Kindred Care, LLC
• Rebecca King

• All providers in Linn, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.