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DR. JEFFREY W CHILDERS M.D.
NPI 1174611966
Family Medicine in Cape Girardeau, MO

Active since October 10, 2006
150 S MOUNT AUBURN RD, SUITE 342, CAPE GIRARDEAU, MO 63703(573) 335-2212(573) 339-5946 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey W Childers M.d. NPPES

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

DR. JEFFREY W CHILDERS M.D. (NPI 1174611966) is an individual family medicine provider in Cape Girardeau, Missouri, licensed in Missouri (2001004971) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174611966
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY W CHILDERSCredential: M.D.
Location Address150 S MOUNT AUBURN RD, SUITE 342Cape Girardeau, MO 63703-4910
Mailing Address150 S Mount Auburn Rd, Suite 342Cape Girardeau, MO 63703-4910 · (573) 335-2212 · Fax (573) 339-5946
Phone(573) 335-2212
Fax(573) 339-5946
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1174611966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2001004971
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
150 S MOUNT AUBURN RD, Cape Girardeau, MO 63703
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Other Identifiers 3

Medicaid205303019MO
Medicare ID-Type Unspecified002014420MO · Medicare Id Number
Medicare UPINH37154MO

Other Providers at the Same Location NPPES 20

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

JOHN VAN EARNHART M.D.
Family Medicine
150 S MOUNT AUBURN RD, SUITE 418
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-6000
SARAH ELOISE OLIVER P.A.
Physician Assistant
150 S MOUNT AUBURN RD, SUITE 342
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5677
DR. KAYWAN DINYAR GAMADIA D.O
Neurological Surgery
150 S MOUNT AUBURN RD, SUITE 342
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5677
DR. DAVID O CATRON MD
Family Medicine
150 S MOUNT AUBURN RD, SUITE 418
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-6000
CAPE GIRARDEAU AUDIOLOGY
Audiologist
150 S MOUNT AUBURN RD, SUITE 420
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 335-4448
MR. JEFFREY JOSPEH THIERET PT
Physical Therapist
150 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5153
LLOYD FRANCIS WILLIAMS LPN
Licensed Practical Nurse
150 S MOUNT AUBURN RD, SUITE 320
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 339-0900
MRS. MARLISA LYNN NOLAN OTRL, CHT, CLT
Occupational Therapist
150 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5153

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 Jeffrey Childers's NPI number?

The NPI number for Jeffrey Childers is 1174611966. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Jeffrey Childers located?

Jeffrey Childers practices at 150 S Mount Auburn Rd Suite 342, Cape Girardeau, MO 63703. The listed phone number is (573) 335-2212.

What is Jeffrey Childers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Childers was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.