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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 Inc
Inferred 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