Sides Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SIDES GROUP INC.

Doing business as

Jefferson County Family Medicine

Practice address

1216 W Main St
Festus, MO 63028-1654

Phone

(636) 937-3611

Fax

(636) 931-3612

NPI assigned

Oct 3, 2007

Last updated

Apr 30, 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

Mrs. Janet Leittermann

Title

Office Manager

Phone

(636) 937-3611

Specialties & licenses 1

Addresses

Other names 1

• Jefferson County Family Medicine Doing business as

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1598952541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281654",
            "telephone_number": "636-937-3611",
            "fax_number": "636-931-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281654",
            "telephone_number": "636-937-3611",
            "fax_number": "636-931-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDES GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "LEITTERMANN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-937-3611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amit J Shah, M.D.
• Bailey Lane Shearrer, FNP-BC
• Shela L. Meyers
• Jennifer Lynne Shelton, LPC
• Amanda M Sherwood, APRN, FNP, BC
• Gary W Sides, D.O.
• Kevin J Sides, D.O.
• Craig S Siegel, MD
• Leah Christine Silver, D.O.
• Jessica Anne Simora

• Family Medicine Physician in Festus, MO
• Providers in Festus, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.