Jefferson City Medical Group, P.C.
NPI 1871549345ActiveOrganization· Podiatrist· Jefferson City, MO
Podiatrist in Jefferson City, Missouri, registered in NPPES in May 2006. The authorized official on file is Jeffrey Lee Patrick, M.D., President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1871549345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Enrolled DME Supplier - Physician - Podiatry (MO); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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