1. Home
  2. Directory
  3. Missouri
  4. Jefferson City
  5. Clinic Center
  6. NPI Profile

INNOVATIVE MEDICAL CLINIC
NPI 1063290260
Clinic/Center - Multi-Specialty in Jefferson City, MO

Active since September 19, 2023
3218 W EDGEWOOD DR, STE 500, JEFFERSON CITY, MO 65109(949) 696-6157 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innovative Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE MEDICAL CLINIC (NPI 1063290260) is a healthcare organization registered as a multi-specialty in Jefferson City, Missouri and active in the NPI registry since September 2023. The organization lists Elochukwu Osoego, Owner, as its authorized official.

NPPES Registry Identity

NPI1063290260
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVATIVE MEDICAL CLINIC
Location Address3218 W EDGEWOOD DR, STE 500Jefferson City, MO 65109
Mailing Address3218 W Edgewood Dr, Ste 500Jefferson City, MO 65109 · (949) 696-6157
Phone(949) 696-6157
Organization SubpartNo
Authorized OfficialElochukwu OsoegoOwner · (949) 696-6157
Enumeration DateSeptember 19, 2023
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1063290260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3218 W EDGEWOOD DR, Jefferson City, MO 65109
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON CITY OPEN MRI LLC
Clinic/Center (Radiology)
3218 W EDGEWOOD DR, SUITE 200
JEFFERSON CITY, MO 65109
Cole County (573) 635-6262
ABAGAEL RICHARDS HUNT PT
Physical Therapist
3218 W EDGEWOOD DR
JEFFERSON CITY, MO 65109
Cole County (573) 634-3815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Medical Clinic's NPI number?

The NPI number for Innovative Medical Clinic is 1063290260. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Innovative Medical Clinic located?

Innovative Medical Clinic is located at 3218 W Edgewood Dr Ste 500, Jefferson City, MO 65109. The listed phone number is (949) 696-6157.

What is Innovative Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Innovative Medical Clinic was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.