Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Capital Region Medical Center

Organization Diagnostic Radiology Physician · NPI 1700043791

Capital Region Medical Center provides Diagnostic Radiology Physician services in Jefferson City, Missouri. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1125 Madison St
Jefferson City, MO 65102-5227 Not confirmed with CMS for 13 years — call before visiting
Phone: (573) 632-5000
Fax: (573) 632-5876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1700043791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Luebbering — Vp Of Finance · (573) 632-5100
Other names Capital Region Physicians - Radiology
NPI enumeratedMay 19, 2008
Last updated in NPPESAugust 23, 2013
Mailing addressPo Box 1128, Jefferson City, MO 65102-1128

Other providers in Jefferson City