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Jason Douglas, PA-C
NPI 1457606618 · on the registry since 2012 · sole proprietor
Practice
- Address
- 23401 Prairie Star Pkwy Ste B-300
Lenexa, KS 66227 - Phone
- (913) 677-6319
- Fax
- (913) 677-1540
- Organisation at this address
- Kc Bariatric, Llc
Md Diversified Services Llc
Shawnee Mission Medical Center Inc
Shawnee Mission Medical Center Inc
Shawnee Mission Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 2101 Corona Rd Ste 102, Columbia, MO
- 304 S Mount Auburn Rd, Cape Girardeau, MO
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-29
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas