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CAPITAL CITY MEDICAL ASSOCIATES PC NPI 1639129232


NPI Information

NPI: 1639129232
Provider Name: CAPITAL CITY MEDICAL ASSOCIATES, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1505 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 634-2620
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CAPITAL CITY MEDICAL ASSOCIATES, PC is an internal medicine in Jefferson City, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CAPITAL CITY MEDICAL ASSOCIATES, PC NPI is 1639129232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1505 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109-431
Phone: (573) 634-2620
Fax: (573) 761-1863

The provider's authorized official is Rachel J Kempker .
The authorized official title is Data Processing Manager and has the following contact phone number (573) 634-2620.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseMISSOURINo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMISSOURINo
3207RG0100XInternal MedicineGastroenterologyMISSOURINo
4207RN0300XInternal MedicineNephrologyMISSOURINo
5207RP1001XInternal MedicinePulmonary DiseaseMISSOURINo
6207RR0500XInternal MedicineRheumatologyMISSOURINo
7208600000XSurgeryMISSOURINo
8207RS0012XInternal MedicineSleep Medicine111467MISSOURINo
9207R00000XInternal MedicineMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CD3561OTHERMISSOURIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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