Jefferson City Medical Group, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JEFFERSON CITY MEDICAL GROUP, P.C.

Doing business as

Ear, Nose, Throat and Sinus Surgery

Practice address

1241 W Stadium Blvd
Suite 1000
Jefferson City, MO 65109-6023

Phone

(573) 635-5264

NPI assigned

Dec 27, 2006

Last updated

Dec 26, 2018By the provider in NPPES

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 1

Other names 1

• Ear, Nose, Throat and Sinus Surgery Doing business as

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1386700326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104240",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651104240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "address_2": "SUITE 1000",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-635-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CITY MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "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": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507560209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear, Nose, Throat and Sinus Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ear, Nose, Throat and Sinus Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson City Medical Group, P.C. (Express Care- Elm Court)
• Jefferson City Medical Group, P.C. (Jefferson City Orthopaedics)
• Jefferson City Medical Group, P.C. (JCMG Hematology/Oncology)
• Jefferson City Medical Group, P.C. (JCMG Women's Clinic)
• Jefferson City Medical Group, P.C.
• Jefferson City Medical Group, P.C. (Thomas J. Folz, M.D.)
• Jefferson City Medical Group, P.C. (Womens Healthcare)
• Jefferson City Medical Group, P.C. (JCMG Infusion)
• Jefferson City Medical Group, P.C. (Jefferson City Radiologists)
• Jefferson City Medical Group, P.C. (Surgical Specialists)

• Otolaryngology Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Otolaryngology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.