JEFFERSON CITY DERMATOLOGY
NPI 1972668903
Dermatology in Jefferson City, MO

Active since December 27, 2006
1241 W STADIUM BLVD, SUITE 1407, 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 Dermatology NPPES

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

JEFFERSON CITY DERMATOLOGY (NPI 1972668903) is a healthcare organization registered as a dermatology in Jefferson City, Missouri and active in the NPI registry since December 2006. The organization lists Jeffrey Lee Patrick, President, as its authorized official.

NPPES Registry Identity

NPI1972668903
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJEFFERSON CITY MEDICAL GROUP, P.C.
Location Address1241 W STADIUM BLVD, SUITE 1407Jefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240
Organization SubpartNo
Authorized OfficialJeffrey Lee PatrickPresident · (573) 635-5264
Enumeration DateDecember 27, 2006
Last NPPES UpdateDecember 26, 2018
NPI 1972668903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Names 1

Doing Business AsJefferson City Dermatology

Other Identifiers 1

OtherCD6059MO · Medicare Railroad

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 1972668903. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Jefferson City Dermatology.

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

Jefferson City Medical Group, P.C. is located at 1241 W Stadium Blvd Suite 1407, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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 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.