CAPITAL REGION PHYSICIANS - ELDON
NPI 1285606392
Family Medicine in Eldon, MO

NPI Status: Active since February 02, 2006

Contact Information

103 BUSINESS HWY 54 NORTH
ELDON, MO
ZIP 65026
Phone: (573) 392-2124
Fax: (573) 392-6375

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  • Organization
  • Family Medicine
  • CLIA Number: 26D0670820
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-07-2027

About CAPITAL REGION PHYSICIANS - ELDON

This page provides the complete NPI Profile along with additional information for Capital Region Physicians - Eldon, a primary care provider established in Eldon, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1285606392 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Capital Region Physicians - Eldon operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Capital Region Physicians - Eldon. The authorized official of this NPI record is Tom Luebbering (Vp Of Finance)

NPI
1285606392
Provider Legal Name
CAPITAL REGION MEDICAL CENTER
Other Organization Name
CAPITAL REGION PHYSICIANS - ELDON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
103 BUSINESS HWY 54 NORTH ELDON, MO 65026
Location Phone
(573) 392-2124
Location Fax
(573) 392-6375
Mailing Address
103 BUSINESS HWY 54 NORTH ELDON, MO 65026
Mailing Phone
(573) 392-2124
Mailing Fax
(573) 392-6375
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2006
Last Update Date
08-23-2013
Code Navigator

A primary care provider (PCP) like Capital Region Physicians - Eldon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TOM LUEBBERING

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(573) 632-5100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000012098MEDICARE ID-TYPE UNSPECIFIED (04)MO 
508069101MEDICAID (05)MO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0670820
Facility Type
Physician Office
Certificate Effective Date
May 08, 2025
Certificate Expiration Date
May 07, 2027
Laboratory Director
SCOTT GRISWOLD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Capital Region Physicians - Eldon in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285606392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216512012318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 0 + 1 + 2 + 3 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1285606392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972575694 MICHAEL SCOTT GRISWOLD MD
Individual
Family Medicine103 BUSINESS HWY 54 NORTH
ELDON, MO 65026
(573) 392-2124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285606392, enumerated in the NPI registry as an "organization" on February 02, 2006

The provider is located at 103 Business Hwy 54 North Eldon, Mo 65026 and the phone number is (573) 392-2124

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 26D0670820 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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