Jefferson City Medical Group, P.C.
NPI 1508806563ActiveOrganization· Radiology, Diagnostic Radiology· Jefferson City, MO
Radiology, Diagnostic Radiology in Jefferson City, Missouri, registered in NPPES in June 2006. The authorized official on file is Jeffrey Lee Patrick, M.D., President.
Overview
| NPI | 1508806563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | May 9, 2023 |
| Certified by provider | May 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiology, Neuroradiology, Nuclear Radiology | 2085N0904X | — | — |
| Radiology, Diagnostic Ultrasound | 2085U0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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