Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital Region Medical Center

Organization Obstetrics & Gynecology Physician · NPI 1083912265

Capital Region Medical Center is an Obstetrics & Gynecology Physician in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011

Practice location Address checks out

1014 Madison St Ste B
Jefferson City, MO 65101-3458
Phone: (573) 634-3496
Fax: (573) 635-5260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 419-15 (MO)

Record details

NPI number1083912265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Luebbering — Vp Of Finance · (573) 632-5100
Other names Capital Region Physicians - Madison Street Ob/Gyn
NPI enumeratedMarch 11, 2011
Last updated in NPPESAugust 23, 2013
Mailing address1014 Madison St, Suite B, Jefferson City, MO 65101-3458

Other providers in Jefferson City