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

Jefferson City Medical Group, PC

Organization Dermatology Physician · NPI 1972668903

Jefferson City Medical Group, PC provides Dermatology 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 Ste 1407
Jefferson City, MO 65109-6023
Phone: (573) 635-5264
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1972668903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Patrick — President · (573) 635-5264
Other names Jefferson City Dermatology; Jefferson City Dermatology
NPI enumeratedDecember 27, 2006
Last updated in NPPESDecember 26, 2018
Mailing addressPo Box 104240, Jefferson City, MO 65110-4240

Other providers in Jefferson City