Jefferson City Medical Group, P.C.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

JEFFERSON CITY MEDICAL GROUP, P.C.

Doing business as

Womens Healthcare

Practice address

1241 W Stadium Blvd
Suite 1140
Jefferson City, MO 65109-6023

Phone

(573) 556-7717

Fax

(573) 556-1717

NPI assigned

Dec 27, 2006

Last updated

May 12, 2010By 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. Michael Craighead, M.D.

Title

Coo

Phone

(573) 556-7776

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Womens Healthcare Doing business as

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1467518423",
    "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",
            "telephone_number": "573-556-7717",
            "fax_number": "573-556-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "address_2": "SUITE 1140",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-556-7717",
            "fax_number": "573-556-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CITY MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "CRAIGHEAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "573-556-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507560001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC7852",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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. (Ear, Nose, Throat and Sinus Surgery)
• Jefferson City Medical Group, P.C. (Thomas J. Folz, M.D.)
• 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)
• Jefferson City Medical Group, P.C. (Jefferson City Eye Consultants)
• Jefferson City Medical Group, P.C. (Pediatrics)

• Gynecology Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.