PEDIATRICS
NPI 1689614646
Pediatrics in Jefferson City, MO

Active since June 07, 2006
1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1300, JEFFERSON CITY, MO 65109(573) 556-5747(573) 636-9756 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2023, Dec 26, 2018 (2 updates tracked since 2018).

About Pediatrics NPPES

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

PEDIATRICS (NPI 1689614646) is a healthcare organization registered as a pediatrics in Jefferson City, Missouri and active in the NPI registry since June 2006. The organization lists Jeffrey Lee Patrick, President, as its authorized official.

NPPES Registry Identity

NPI1689614646
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJEFFERSON CITY MEDICAL GROUP, P.C.
Location Address1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1300Jefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264 · Fax (573) 636-9756
Fax(573) 636-9756
Organization SubpartNo
Authorized OfficialJeffrey Lee PatrickPresident · (573) 635-5264
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1689614646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Names 1

Doing Business AsPediatrics

Other Identifiers 1

Medicaid500076906MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Internal Medicine (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Radiology (Diagnostic Radiology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109

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, P.C.'s NPI number?

The NPI number for Jefferson City Medical Group, P.C. is 1689614646. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Pediatrics.

Where is Jefferson City Medical Group, P.C. located?

Jefferson City Medical Group, P.C. is located at 1241 W Stadium Blvd First Floor, Suite 1300, Jefferson City, MO 65109. The listed phone number is (573) 556-5747.

What is Jefferson City Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jefferson City Medical Group, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Jefferson City Medical Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson City Medical Group, P.C. was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.