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JEFFERSON CITY MEDICAL GROUP, PC
NPI 1457763633
Clinic/Center - Multi-Specialty in Jefferson City, MO

Active since May 22, 2014
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson City Medical Group, Pc NPPES

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

JEFFERSON CITY MEDICAL GROUP, PC (NPI 1457763633) is a healthcare organization registered as a multi-specialty in Jefferson City, Missouri and active in the NPI registry since May 2014. The organization lists Jeffrey Lee Patrick, President, as its authorized official.

NPPES Registry Identity

NPI1457763633
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJEFFERSON CITY MEDICAL GROUP, PC
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264
Phone(573) 635-5264
Organization SubpartNo
Authorized OfficialJeffrey Lee PatrickPresident · (573) 635-5264
Enumeration DateMay 22, 2014
Last NPPES UpdateDecember 26, 2018
✔ NPI 1457763633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1241 W STADIUM BLVD, Jefferson City, MO 65109
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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.

DR. THOMAS W. SCHNEIDER M.D.
Internal Medicine (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
ASHLEE KATHLEEN PARKES FNP
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 634-4878
LYNDSEY ELIZABETH SHANNON FNP-C
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-7719
JUDITH A. WIENKE NP
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. MICHAEL G. STEENBERGEN M.D.
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. JAMES J. WEISS M.D.
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. E. DWAIN ROBERTS M.D.
Radiology (Diagnostic Radiology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-7755
JILL A. KLIETHERMES APRN, BC, FNP
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-5747

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 Jefferson City Medical Group, PC's NPI number?

The NPI number for Jefferson City Medical Group, PC is 1457763633. It was assigned to this organization in the NPPES registry on May 22, 2014.

Where is Jefferson City Medical Group, PC located?

Jefferson City Medical Group, PC is located at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

What is Jefferson City Medical Group, PC'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 Jefferson City Medical Group, PC was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.