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

Capital Region Medical Center

Organization Family Medicine Physician · NPI 1477980837

Capital Region Medical Center is a Family Medicine Physician in Jefferson City, Missouri. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
11
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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5583
Fax: (573) 632-5896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Occupational Medicine Physician Taxonomy 2083X0100X
Neurology Physician Taxonomy 2084N0400X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
General Practice Physician Taxonomy 208D00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1477980837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Luebbering — Vice President Of Finance · (573) 632-5100
Other names Capital Region Physicians; Capital Region Physicians
NPI enumeratedOctober 1, 2013
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020
Mailing address1125 Madison St, Jefferson City, MO 65101-5227

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