Individual provider Active NPI

Janet E Theby, MD

  • Family Medicine Physician
  • Jefferson City, MO
National Provider Identifier
1801874243
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
105073 Issued in MO
Practice address
2707 W Edgewood Dr
Jefferson City, MO 65109-5888
Phone
(573) 635-0233
Fax
(573) 635-7436
NPI assigned
Jan 5, 2006
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 105073 MO Primary

Addresses

Primary practice location

2707 W Edgewood Dr
Jefferson City, MO 65109-5888

Mailing address

2707 W Edgewood Dr
Jefferson City, MO 65109-5888
Phone (573) 635-0233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1801874243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W EDGEWOOD DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095888",
            "telephone_number": "573-635-0233",
            "fax_number": "573-635-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W EDGEWOOD DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095888",
            "telephone_number": "573-635-0233",
            "fax_number": "573-635-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEBY",
        "first_name": "JANET",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "105073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.