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 provides Pediatrics Physician services 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