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

Individual provider Urology Physician · NPI 1790708907

Michael Scott Severance, MD is an Urology in Jefferson City, Missouri. Graduated from Albany Medical College of Union University in 1988, 38 years ago. Practices with Lake Regional Health System, a 131-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
38
Trained at
Albany Medical College of Union University
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3207 W Truman Blvd
Jefferson City, MO 65109-0578
Phone: (573) 636-5115
Fax: (573) 636-2818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 101963 (MO)

Record details

NPI number1790708907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3207 W Truman Blvd, Jefferson City, MO 65109-0578

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1988 (38 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jefferson City