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

Jefferson City Medical Group, PC

Organization Pediatrics Physician · NPI 1689614646

Jefferson City Medical Group, PC is a Pediatrics Physician in Jefferson City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1241 W Stadium Blvd First Fl Ste 1300
Jefferson City, MO 65109-6023
Phone: (573) 556-5747
Fax: (573) 636-9756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1689614646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Patrick — President · (573) 635-5264
Other names Pediatrics; Pediatrics
NPI enumeratedJune 7, 2006
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing addressPo Box 104240, Jefferson City, MO 65110-4240

Other providers in Jefferson City