CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER – NPI #1932176591
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER is a provider located in JEFFERSON CITY, MO. NPPES has assigned the NPI number 1932176591 to CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER on March 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER” is a dba name, the actual legal business name for this organization is CAPITAL REGION MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 13 years ago on Aug 23, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER below.

NPI Profile for
CAPITAL REGION MEDICAL CENTER

NPI Number
1932176591
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAPITAL REGION MEDICAL CENTER
Doing Business As (dba): CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER
Primary location
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Phone: (573) 632-5482 Fax: (573) 632-5860
Mailing address
PO BOX 1128
JEFFERSON CITY, MO 65012-1128
Phone: (573) 632-5482 Fax: (573) 632-5860
Organization Subpart
No
Authorized Official
TOM LUEBBERING
VP OF FINANCE
Phone: (573) 632-5100
Updated
Identifiers

Identifiers for CAPITAL REGION PHYSICIANS - GOLDSCHMIDT CANCER CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREMOC09211
MEDICAIDMO508925708
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
207RX0202X
- Internal Medicine / Medical Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.