MID MISSOURI MEDICAL CONSULTANTS INC. NPI 1740396035

NPI Information

  • NPI: 1740396035
  • Provider Name: MID MISSOURI MEDICAL CONSULTANTS, INC.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1111 MADISON ST
    JEFFERSON CITY, MO
    ZIP 65101
  • Phone: (573) 635-7651

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NPI Details

MID MISSOURI MEDICAL CONSULTANTS, INC. 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. MID MISSOURI MEDICAL CONSULTANTS, INC. NPI is 1740396035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 MADISON ST
JEFFERSON CITY, MO
ZIP 65101-753
Phone: (573) 635-7651
Fax: (573) 659-4515

The provider's authorized official is Nancy Wadley .
The authorized official title is Office Manager and has the following contact phone number (573) 635-7651.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 2/3/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyR8638MISSOURINo
2207R00000XInternal MedicineR4N29MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104047OTHERMISSOURIBC/BS INSURANCE GROUP
2500166806MEDICAIDMISSOURI
3990000030MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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: 3/30/2025

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