Jay T. Peterson Sr., M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

R6888 Issued in MO

Practice address

6429 High Dr
Mission Hills, KS 66208-1935

Phone

(913) 722-5825

NPI assigned

Feb 1, 2006

Last updated

Jan 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas City Cancer Center, LLC

  • Medical Oncology Physician
  • Overland Park, KS
  • NPI 1003864471

  Hematology & Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1376515726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 HIGH DR",
            "city": "MISSION HILLS",
            "state": "KS",
            "postal_code": "662081935",
            "telephone_number": "913-722-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 HIGH DR",
            "city": "MISSION HILLS",
            "state": "KS",
            "postal_code": "662081935",
            "telephone_number": "913-722-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JAY",
        "middle_name": "T.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "04-14230",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "R6888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Bruce Hoskins, M.D.
• Bree Howard, CRNA
• John Kennedy Layle Jr., MD
• Jo Anne Linhart Thomas, ED S
• Michelle E Oza, M.D.
• Michael J Pronko, MD
• Daniel L Schlozman, M.D.
• Tri, P.a.
• Jenny Hsiao Chuang Wang, OTR/L

• Hematology & Oncology Physician in Mission Hills, KS
• Providers in Mission Hills, KS by specialty
• Hematology & Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.