Capital Family Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAPITAL FAMILY CARE

Practice address

1500 Southwest Blvd Ste B
Jefferson City, MO 65109-2472

Phone

(573) 635-6350

Fax

(573) 635-9049

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Andrew Roudebush, D.O.NPI 1376540559

Title

Ceo

Phone

(573) 635-6350

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andrew Roudebush, D.O.

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1376540559
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780724922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHWEST BLVD STE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092472",
            "telephone_number": "573-635-6350",
            "fax_number": "573-635-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHWEST BLVD STE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092472",
            "telephone_number": "573-635-6350",
            "fax_number": "573-635-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUDEBUSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-635-6350",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital City Area Council for Special Services
• Capital City Area Council for Special Services
• Capital City Medical Associates, PC
• Capital Dentistry for Children LLC
• Capital Emergency Physicians, PC
• Capital Region Medical Center
• Capital Region Medical Center
• Capital Region Medical Center
• Capital Region Medical Center
• Capital Region Medical Center

• Family Medicine Physician in Jefferson City, MO
• Providers in Jefferson City, 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 Aug 22, 2020; 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.