Capital Region Medical Center

Organization Active NPI Family Medicine Physician · Jefferson City, MO

NPI 1477980837 · NPPES record last updated Jul 29, 2020

Key facts

NPI
1477980837
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CAPITAL REGION MEDICAL CENTER
Practice address
1125 Madison St
Jefferson City, MO 65101-5227
Phone
(573) 632-5583
Fax
(573) 632-5896
NPI assigned
Oct 1, 2013
Organization subpart
No

Authorized official

Name
Tom Luebbering
Title
Vice President of Finance
Phone
(573) 632-5100

Corporate family (same tax ID) 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Practitioners 14

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

National Provider Directory

Tax ID family
Capital Region Medical Center (47 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208100000X
Occupational Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2083X0100X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084N0400X
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208M00000X

Addresses

Primary practice location

1125 Madison St
Jefferson City, MO 65101-5227

Mailing address

1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 632-5583

Other names

  • Capital Region Physicians Doing business as

Other providers in Jefferson City, MO

All providers in Jefferson City, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.