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
Practitioners 14
-
Albert Chan, M.D.
-
Shelly L Gudehus, FNP
-
Taishi Hirai, MD
-
Arun Kumar, M.D.
-
William K Lafoe, MD
-
Roland Fokwen Njoh, M.D.
-
William Loyd Schlegel, D.O.
-
James F. Tritz, M.D.
-
David James Lemons, D.O.
National Provider Directory
- Tax ID family
- Capital Region Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Occupational Medicine Physician |
2083X0100X | |||
| Neurology Physician |
2084N0400X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Surgery Physician |
208600000X | |||
| General Practice Physician |
208D00000X | |||
| Hospitalist Physician |
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
Other providers in Jefferson City, MO
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
- Capital Region Medical Center
All providers in Jefferson City, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.