Organization Active NPI

Internal Medicine Group of Cape Girardeau, Inc.

  • Internal Medicine Physician
  • Cape Girardeau, MO
National Provider Identifier
1770618746
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE GROUP OF CAPE GIRARDEAU, INC.
Doing business as
Cape Girardeau Physician Associates
Practice address
3250 Gordonville Rd
Suite 301
Cape Girardeau, MO 63703-5056
Phone
(573) 334-9641
Fax
(573) 331-3120
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Schwettman
Title
Business Office Manager
Phone
(573) 334-9641

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

3250 Gordonville Rd
Suite 301
Cape Girardeau, MO 63703-5056

Mailing address

3250 Gordonville Rd
Suite 301
Cape Girardeau, MO 63703-5056
Phone (573) 334-9641

Other names 1

  • Cape Girardeau Physician Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1095508Cape Physician Associates3250 Gordonville Rd, Ste 301, Cape Girardeau, MO 63703Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

3250 Gordonville Rd
Ste 301
Cpe Girardeau, MO 63703
Phone (573) 334-9641

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1770618746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "SUITE 301",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-334-9641",
            "fax_number": "573-331-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "SUITE 301",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-334-9641",
            "fax_number": "573-331-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE GROUP OF CAPE GIRARDEAU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "SCHWETTMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "573-334-9641"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Girardeau Physician Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.