JEFFERSON CITY RADIOLOGISTS – NPI #1508806563
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JEFFERSON CITY RADIOLOGISTS is a radiologist located in JEFFERSON CITY, MO. NPPES has assigned the NPI number 1508806563 to JEFFERSON CITY RADIOLOGISTS on June 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSON CITY RADIOLOGISTS” is a dba name, the actual legal business name for this organization is JEFFERSON CITY MEDICAL GROUP, P.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on May 09, 2023. 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 JEFFERSON CITY RADIOLOGISTS below.

NPI Profile for
JEFFERSON CITY MEDICAL GROUP, P.C.

NPI Number
1508806563
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
JEFFERSON CITY MEDICAL GROUP, P.C.
Doing Business As (dba): JEFFERSON CITY RADIOLOGISTS
Primary location
1241 W STADIUM BLVD
LOWER LEVEL
JEFFERSON CITY, MO 65109-6023
Phone: (573) 556-5747 Fax: (573) 636-9756
Mailing address
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone: (573) 635-5264 Fax: (573) 636-9756
Organization Subpart
No
Authorized Official
JEFFREY PATRICK
PRESIDENT
Phone: (573) 635-5264
Updated
Certification Date
May 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFERSON CITY RADIOLOGISTS

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
otherRAILROAD GROUPMODB1586
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
2085U0001X
- Radiology / Diagnostic Ultrasound
2085N0904X
- Radiology / Nuclear Radiology

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.